Pearson B W
Laryngoscope. 1981 Nov;91(11):1904-12. doi: 10.1288/00005537-198111000-00016.
A subtotal laryngectomy may meet the requirements of adequate tumor resection in many patients who normally would undergo total laryngectomy. The uninvolved column of innervated endolarynx sacrificed at total laryngectomy to separate the airway and the food way can be preserved to valve a speaking shunt. Such a shunt remains patent and sphincteric without the use of a prosthesis an offers consistent advantages over "post-total" laryngectomy reconstructions. This report describes the principles of subtotal laryngectomy applied in 16 patients with laryngeal or pharyngeal carcinoma. The technique ensures entry into the larynx through tumor-free soft tissues and keeps the tumor margins under direct vision thereafter. During follow-up ranging from 6 months to 6 years, fistula speech has been retained and no local tumor has recurred.
对于许多通常需要接受全喉切除术的患者，部分喉切除术可能满足充分切除肿瘤的要求。在全喉切除术中为分隔气道和食物通道而牺牲的未受累的带神经支配的喉内柱状结构可以保留，以构建一个发音分流。这种分流无需使用假体即可保持通畅和具有括约肌功能，并且与“全喉切除术后”的重建相比具有持续的优势。本报告描述了应用于16例喉癌或下咽癌患者的部分喉切除术的原则。该技术确保通过无肿瘤的软组织进入喉部，并在此后使肿瘤边缘处于直视之下。在6个月至6年的随访期间，患者保留了瘘管发音，且无局部肿瘤复发。
