Schröder U
Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie am Universitätsklinikum Köln.
Laryngorhinootologie. 2007 Jul;86(7):490-9. doi: 10.1055/s-2007-966535.
Open partial laryngectomies include a broad variety of vertical or horizontal partial or supracricoid laryngectomies. Especially in Germany the excellent results of the transoral approach in combination with the CO2 laser surgery radically have diminished the indications of the open surgical techniques for laryngeal cancer staged cT1-2. In patients with laryngeal cancer staged cT3 the role of open organ-preservation surgery remains to be defined in the context of extended treatment options for endolaryngeal CO2 laser surgery and conservative larynx-preservation approaches with concurrent chemoradiation or induction chemotherapy followed by radiation therapy. With regard to the reviewed literature this manuscript will discuss current indications and future roles of open partial laryngectomies with special emphasis given to the supracricoid laryngectomies.
开放性部分喉切除术包括多种垂直或水平部分喉切除术或环状软骨上喉切除术。特别是在德国，经口入路联合二氧化碳激光手术的卓越效果已从根本上减少了cT1-2期喉癌开放手术技术的适应症。对于cT3期喉癌患者，在喉内二氧化碳激光手术以及采用同步放化疗或诱导化疗后放疗的保守保喉方法等扩展治疗选择的背景下，开放性器官保留手术的作用仍有待明确。关于所综述的文献，本手稿将讨论开放性部分喉切除术的当前适应症和未来作用，特别强调环状软骨上喉切除术。
