Laccourreye O, Ross J, Brasnu D, Chabardes E, Kelly J H, Laccourreye H
Department of Otorhinolaryngology Head and Neck Surgery, Hôpital Laënnec, University Paris V, France.
Acta Otolaryngol. 1994 Nov;114(6):669-74. doi: 10.3109/00016489409126124.
Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy (TCHEP) was studied as an alternative to total laryngectomy in 16 patients with glottic carcinoma presenting a 10-15 mm of anterior subglottic extent. The technique of the procedure is described. Results were analyzed for tumor free margins, tracheostomy decannulation, oral alimentation, phonation and disease free interval. The 3-year survival and local control rate were 68% and 86.7%, respectively. Our preliminary data suggest that the TCHEP procedure is a viable alternative to total laryngectomy for patients presenting with varying degrees of carcinoma extension below the free edge of the true vocal cords.
对16例声门癌患者进行了扩大环状软骨上部分喉切除术联合气管环状软骨舌骨会厌固定术（TCHEP），作为全喉切除术的替代方案，这些患者的声门下前部范围为10 - 15毫米。描述了该手术技术。分析了手术切缘无肿瘤情况、气管造口拔管情况、经口进食情况、发声情况和无病生存期。3年生存率和局部控制率分别为68%和86.7%。我们的初步数据表明，对于声门真缘以下存在不同程度癌扩展的患者，TCHEP手术是全喉切除术的一种可行替代方案。
