Chevalier D, Thill C, Darras J A, Piquet J J
Service d'ORL, Hôpital Huriez, CHU, Lille.
Ann Otolaryngol Chir Cervicofac. 1991;108(7):378-81.
The authors assess the possibility to perform subtotal laryngectomy for extensive tumors of the endolarynx. They describe a particular variety of T3/T4 tumor extending anteriorly to the thyroid cartilage or to the pre-epiglottic space. Such tumors do not affect the arytenoid cartilages posteriorly, which makes functional subtotal laryngectomy with CHP or CHEP possible. This surgery was performed in 28 patients from 1972 to 1985, with 20 patients still living after 5 years, ie. 72% of all cases.
作者评估了对喉内广泛肿瘤行次全喉切除术的可能性。他们描述了一种特殊类型的T3/T4肿瘤,其向前延伸至甲状软骨或会厌前间隙。此类肿瘤未累及后方的杓状软骨,这使得采用CHP或CHEP行功能性次全喉切除术成为可能。1972年至1985年间,对28例患者实施了该手术,5年后仍有20例患者存活,即占所有病例的72%。