[Supraglottic horizontal-vertical hemilaryngectomy].

During the years 1980 to 1989, 41 patients (36 men and 5 women) with squamous cell carcinoma of larynx had undergone the supraglottic horizontal-vertical hemilaryngectomy. The patients' age ranged from 43 to 67 years; 78% was aged from 50 to 59. Among 41 patients, 23 were at the Department of Head and Neck Surgery of Shanxi Tumor Hospital and the other 18 patients at the Department of ENT of Beijing Hospital. There were 70.7% (29 patients) in T3 and T4 and 43.9% (18 patients) in N1-3. The 3- and 5-year survival rates of the patients were 82.9% and 75.7% respectively. The 41 patients have acquired the function of speech and swallowing in different degree; 85.4% (35 patients) was extubated. In this article, the main procedure of the operation is described and the modified method during the operation dealing with the recurrence of the original carcinoma, the lymph node metastasis, aspiration of the food and raise the raising of of extubation.