Laccourreye H, Ménard M, Fabre A, Brasnu D, Janot F
Ann Otolaryngol Chir Cervicofac. 1987;104(3):163-73.
A series of one hundred and thirteen cases of supracricoid partial laryngectomy (SPCL) is presented with the description of the surgical technic. All the patients, previously untreated, were decanulated. The deglutition was eventually normal in 97.2% of those treated by SCPL with circo-hyoido-epiglottopexy (CHEP) and in 95.5% after SCPL with crico-hyoido-pexy (CHP). The carcinologic results are presented. The actuarial survival rate at 3 years was 86.5%, after SPCL with CHEP and 71.4% after SCPL with CHP. At 5 years the actuarial survival was 66.3% after SCPL with CHP. The surgical indications are discussed according to the tumor site: vestibular carcinomas should be treated by SCPL with CHP and glottic carcinomas by SCPL with CHEP. A tumor extension beyond the superior border of the cricoid cartilage precludes these surgical procedures.
本文报告了113例环状软骨上部分喉切除术（SPCL）的病例，并描述了手术技术。所有患者均为未经治疗的初次插管患者。接受环状舌骨会厌固定术（CHEP）的SPCL患者中，97.2%最终吞咽功能恢复正常；接受环状舌骨固定术（CHP）的SPCL患者中，95.5%最终吞咽功能恢复正常。文中还给出了肿瘤学结果。接受CHEP的SPCL患者3年精算生存率为86.5%，接受CHP的SPCL患者3年精算生存率为71.4%。接受CHP的SPCL患者5年精算生存率为66.3%。根据肿瘤部位讨论了手术适应证：前庭癌应采用CHP的SPCL治疗，声门癌应采用CHEP的SPCL治疗。环状软骨上缘以上的肿瘤扩展不适合这些手术方法。
