Bozkurt Gülpembe, Ünsal Özlem, Coşkun Berna Uslu
Department of Otorhinolaryngology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Turk Arch Otorhinolaryngol. 2016 Jun;54(2):69-73. doi: 10.5152/tao.2016.1705. Epub 2016 Jun 1.
The aim of this study was to re-evaluate the open partial horizontal laryngectomies (OPHLs) performed at our institution in terms of the new classification of the European Laryngological Society and compare the differences with the new classification system.
A retrospective analysis of 45 patients diagnosed with T1b, T2, and T3 laryngeal carcinoma who were treated with OPHLs in our department between 2010 and 2016 were conducted.
All supraglottic laryngectomies (31 operations) were classified as OPHL Type 1. Among these, 11 operations required a resection of an additional structure including arytenoid (ARY) in five operations, piriform sinus (PIR) in four operations, the base of tongue (BOT) in one surgery, and ARY + PIR in one patient. Five supracricoid laryngectomies with cricohyoidoepiglottopexy (CHEP), five supracricoid laryngectomies with cricohyoidopexy (CHP), and four near-total laryngectomy operations constituted Type 2 OPHL (7 operations) and Type 3 OPHL (7 operations). Among these operations, two were classified into Type 2b OPHL and four into Type 3b OPHL as the superior margin of incision included epiglottis.
We consider that, this new classification, because it allows understanding the content of the surgery from the related title, will be useful in comparing different series and techniques.
本研究旨在根据欧洲喉科学会的新分类法，对我院实施的开放性部分水平喉切除术（OPHL）进行重新评估，并比较其与新分类系统的差异。
对2010年至2016年间在我科接受OPHL治疗的45例诊断为T1b、T2和T3喉癌的患者进行回顾性分析。
所有声门上喉切除术（31例手术）均归类为OPHL 1型。其中，11例手术需要额外切除其他结构，包括5例切除杓状软骨（ARY）、4例切除梨状窝（PIR）、1例切除舌根（BOT）以及1例患者同时切除ARY + PIR。5例环状软骨上喉切除术加环状软骨舌骨会厌固定术（CHEP）、5例环状软骨上喉切除术加环状软骨舌骨固定术（CHP）以及4例近全喉切除术构成了OPHL 2型（7例手术）和OPHL 3型（7例手术）。在这些手术中，2例被归类为2b型OPHL，4例被归类为3b型OPHL，因为切口上缘包括会厌。
我们认为，这种新分类法由于能从相关标题了解手术内容，将有助于比较不同的系列研究和技术。
