Pech A, Cannoni M, Giovanni A, Thomassin J M, Zanaret M, Goubert J L
Ann Otolaryngol Chir Cervicofac. 1986;103(8):565-75.
Rules for functional surgery of cancer of larynx are defined by means of a detaited analysis of results of 43 cases of reconstructive anterior frontal laryngectomy, 17 cases of crico-hyoide-epiglottopexy and 32 cases of crico-hyoidopexy. The carcinologic features of this surgery are discussed, and emphasis placed on the importance of the paraglottic space and its functional conditions in the light of recent physiologic data. Surgical procedures used are outlined with, for each of them, the neoplastic localization suitable for treatment and a critical analysis of postoperative functional results. Carcinologic follow up is still insufficient for several techniques used, preventing any precise conclusions to be drawn, but the authors consider it is justifiable to perform 66% of partial as against 34% of total laryngectomies.
通过对43例重建性前额喉切除术、17例环甲膜会厌固定术和32例环甲膜固定术的结果进行详细分析，确定了喉癌功能性手术的规则。文中讨论了该手术的肿瘤学特征，并根据最新的生理学数据强调了声门旁间隙及其功能状态的重要性。概述了所采用的手术程序，针对每种手术程序，说明了适合治疗的肿瘤定位，并对术后功能结果进行了批判性分析。对于所采用的几种技术，肿瘤学随访仍然不足，无法得出任何精确的结论，但作者认为进行66%的部分喉切除术与34%的全喉切除术是合理的。
