Sørensen H, Hansen H S, Thomsen K A
Laryngoscope. 1980 Aug;90(8 Pt 1):1344-9.
Partial laryngectomy after full course of irradiation was performed in 65 patients as a salvage for residual tumors and local recurrences. The results are reviewed and compared to results obtained by primary operation. It appears that in glottic lesions excellent results by vertical laryngectomy may be obtained without increased complication rate due to irradiation. In supraglottic tumors horizontal laryngectomy is accompanied by increased postoperative morbidity and severely impaired function to such a degree that total laryngectomy is the operation of choice for irradiation failures in supraglottic recurrences.
65例患者在接受全程放疗后进行了部分喉切除术,以挽救残留肿瘤和局部复发。回顾了结果并与初次手术的结果进行了比较。结果显示,对于声门病变,垂直喉切除术可取得优异效果,且不会因放疗而增加并发症发生率。对于声门上肿瘤,水平喉切除术术后发病率增加,功能严重受损,以至于全喉切除术是声门上复发放疗失败后的首选手术。