Bocca E, Pignataro O, Oldini C, Sambataro G, Cappa C
Ann Otol Rhinol Laryngol. 1987 Jul-Aug;96(4):384-6. doi: 10.1177/000348948709600406.
Extended supraglottic laryngectomy is a surgical procedure by which the boundaries of standard supraglottic laryngectomy are extended to include the base of the tongue and/or pyriform sinus and/or one of the arytenoids, according to the extent of epilaryngeal or extralaryngeal invasion by vestibular cancer. We report the results of 84 extended supraglottic laryngectomies performed by our group from 1970 to 1980. Besides the highly favorable 5-year cure rate (75%), full functional rehabilitation followed in all but three patients, who were therefore submitted to secondary total laryngectomy. Rehabilitation time is often somewhat longer than in standard supraglottic laryngectomy, especially when an ample resection of the base of the tongue is required. Combined resection of the base of the tongue, aryepiglottic fold, and one of the arytenoids may further lengthen the rehabilitation period. We believe that extended supraglottic laryngectomy should be performed more often, not only for actual invasion, but also for suspected invasion of extralaryngeal structures.
扩大声门上喉切除术是一种外科手术，根据前庭癌的喉上或喉外侵犯范围，将标准声门上喉切除术的边界扩大，以包括舌根和/或梨状窝和/或一个杓状软骨。我们报告了我们团队在1970年至1980年期间进行的84例扩大声门上喉切除术的结果。除了极高的5年治愈率（75%）外，除3例患者外，所有患者均实现了完全功能康复，这3例患者因此接受了二期全喉切除术。康复时间通常比标准声门上喉切除术稍长，尤其是在需要广泛切除舌根时。联合切除舌根、杓会厌襞和一个杓状软骨可能会进一步延长康复期。我们认为，扩大声门上喉切除术不仅应在实际侵犯时进行，而且在怀疑有喉外结构侵犯时也应更频繁地进行。
