Hemmaoui Bouchaib, Sahli Mohamed, Errami Noureddine, Rouihi Ahmed, Bahalou Mohamed Habib, Benchaifai Ilias, Ennouali Amine, Britel Sara, Nakkabi Ismail, Jahidi Ali, Zalagh Mohamed, Ouaraini Saloua, Benariba Fouad
Service d'ORL et Chirurgie Cervico-faciale, Hôpital d'Instruction Militaire Mohamed V, Rabat, Maroc.
Pan Afr Med J. 2017 Jul 13;27:191. doi: 10.11604/pamj.2017.27.191.11955. eCollection 2017.
Partial laryngectomy with either cricohyoidoepiglottopexy (CHEP) are mainly used to treat glottic cancers becuse they ensure a satisfactory preservation of physiological functions and satisfactory local carcinologic control. Our study aimed to analyze the functional and carcinologic results of this surgical technique. We conducted a retrospective study of patients undergoing partial laryngectomy with either cricohyoidoepiglottopexy in our Hospital between 2011 and 2014. We analyzed the epidemiological data, the surgical peculiarities, the functional outcomes and the carcinologic control of the disease. A total of 16 patients were included in this study. All our patients had T1 or T2 glottis squamous cell carcinoma. Functional outcomes were generally simple, especially in cases where the preservation of the 2 cricoarytenoid units was possible (75% of cases). However post-operative complications were reported in 31.25%. Carcinologic control was satisfactory, only one patient experienced local recurrence. Partial laryngectomy with either cricohyoidoepiglottopexy (CHEP) is a safe surgery preserving physiological functions and ensuring satisfactory quality of life. It also allows for good carcinologic control (it is subject of course to compliance with surgical indications).
环舌会厌固定术（CHEP）辅助的部分喉切除术主要用于治疗声门癌，因为它们能确保生理功能得到满意的保留以及局部肿瘤学控制效果良好。我们的研究旨在分析这种手术技术的功能和肿瘤学效果。我们对2011年至2014年间在我院接受环舌会厌固定术辅助部分喉切除术的患者进行了一项回顾性研究。我们分析了流行病学数据、手术特点、功能结果以及疾病的肿瘤学控制情况。本研究共纳入16例患者。我们所有的患者均患有T1或T2期声门鳞状细胞癌。功能结果一般较为简单，尤其是在能够保留两个环杓单元的病例中（75%的病例）。然而，术后并发症发生率为31.25%。肿瘤学控制效果令人满意，只有1例患者出现局部复发。环舌会厌固定术（CHEP）辅助的部分喉切除术是一种安全的手术，能保留生理功能并确保生活质量令人满意。它还能实现良好的肿瘤学控制（当然这取决于是否符合手术指征）。
