DeSanto L W, Pearson B W, Olsen K D
Department of Otorhinolaryngology, Mayo Clinic Scottsdale, Arizona 85259.
Ann Otol Rhinol Laryngol. 1989 Jan;98(1 Pt 1):2-7. doi: 10.1177/000348948909800102.
This report emphasizes the utility of the near-total laryngectomy for those patients in whom conventional conservation surgery is an option but may be oncologically or physiologically unsafe. The near-total operation can be offered for supraglottic cancer, pharyngeal cancer, and, more commonly, primary glottic cancer with cord fixation. Its application is described for patients who are candidates for conventional conservation surgery but are compromised physiologically by age or poor general health and for patients in whom tumor extent would not permit safe conventional conservation surgery.
本报告强调了近全喉切除术对于那些传统保留手术是一种选择，但在肿瘤学或生理学上可能不安全的患者的实用性。近全喉切除术可用于声门上癌、咽癌，更常见的是用于伴有声带固定的原发性声门癌。文中描述了该手术在以下患者中的应用：适合传统保留手术但因年龄或总体健康状况不佳而在生理上存在缺陷的患者，以及肿瘤范围不允许进行安全的传统保留手术的患者。
