Marandas P, Luboinski B, Leridant A M, Lambert J, Schwaab G, Richard J M
Département de Chirurgie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.
Ann Otolaryngol Chir Cervicofac. 1987;104(4):259-65.
Functional surgery for treatment of 149 cases of cancer of vestibule of larynx admitted to the Institut Gustave-Roussy, Paris, included 92 supraglottic horizontal laryngectomies and 57 reconstructive subtotal laryngectomies with crico-hyoidopexy. General selection criteria for performing subtotal laryngectomy were very strict: local criteria included tumor of vestibule with possible extension to ventricle, to an arytenoid cartilage or to the HTE space, and regional criteria, more particularly, required absence of any palpable gland or mobile gland of less than 2.5 cm. This rigorous selection explains excellent carcinologic results: 90.8% survival after 5 years following subtotal laryngectomy as against 37.9% after supraglottic horizontal laryngectomy, equivalent to a survival rate for all cases of cancer of vestibule of larynx treated by functional surgery of 65% at 3 years and 58% at 5 years.
法国巴黎古斯塔夫 - 鲁西研究所收治的149例喉前庭癌患者接受了功能性手术治疗，其中包括92例声门上水平喉切除术和57例环状软骨舌骨固定术式的喉次全切除术。实施喉次全切除术的一般选择标准非常严格：局部标准包括可能扩展至室带、杓状软骨或HTE间隙的前庭肿瘤，而区域标准更特别地要求无任何可触及的淋巴结或直径小于2.5厘米的活动淋巴结。这种严格的选择解释了良好的肿瘤学结果：喉次全切除术后5年生存率为90.8%，而声门上水平喉切除术后为37.9%，相当于所有接受功能性手术治疗的喉前庭癌病例3年生存率为65%，5年生存率为58%。
