Piquet J J, Chevalier D, Darras J A, Roux X
Clinique ORL, Hôpital C. Huriez, CHRU, Lille.
Ann Otolaryngol Chir Cervicofac. 1990;107(8):555-8.
From 1980 to 1987, 37 patients were operated with a reconstructive anterior frontal laryngectomy including epiglottoplasty such as described by Tucker. These patients presented with epidermoid carcinomas of the glottis. The carcinological results are satisfactory, with a survival rate of 33 of 37 patients at 3 years and 22 of 25 patients at 5 years. However, the control of the paraglottic space still is insufficient after this type of surgery, and we reserve it for the tumors confined to the glottic level, without impairment of mobility. The anterior frontal laryngectomy performed is extensive and frontolateral. It is used for a few of its former indications, as showed by the comparison of the periods before and after 1980.
1980年至1987年期间,对37例患者实施了包括会厌成形术的前位额侧喉重建切除术,如塔克所描述的那样。这些患者患有声门表皮样癌。肿瘤学结果令人满意,37例患者中的33例3年生存率以及25例患者中的22例5年生存率。然而,这类手术后对声门旁间隙的控制仍不充分,我们仅将其用于局限于声门水平且活动度未受影响的肿瘤。所实施的前位额侧喉切除术范围广泛且位于前外侧。如1980年前后时期的比较所示,其先前的一些适应证已不再适用。