Chevalier D, Watelet J B, Darras J A, Piquet J J
Department of Otorhinolaryngology, Hôpital Claude Huriez, Lille University Medical Center, France.
Head Neck. 1997 Jan;19(1):1-5. doi: 10.1002/(sici)1097-0347(199701)19:1<1::aid-hed1>3.0.co;2-a.
Supraglottic hemilaryngopharyngectomy is a functional procedure suitable for the treatment of carcinoma of the upper part of the pyriform sinus and carcinoma of the lateral laryngeal margin. It consists of resection of the supraglottic hemilarynx and ipsilateral pyriform sinus.
Forty-nine patients underwent this procedure from 1979 through 1994. The median age was 51 (40-72). The data were collected by a review of patients' records.
Two patients died in the postoperative period. The average time of removal of the nasogastric tube was 14 days. The survival rate at 3 years was 52% and at 5 years, 47%. The local recurrence rate was 2%, the overall neck recurrence was 15%, metastasis occurred in 15% of cases.
Indications for this procedure are carcinoma of the upper part of the pyriform sinus and carcinoma of the laryngeal margin with normal vocal cord mobility.
声门上半喉咽切除术是一种功能性手术，适用于治疗梨状窦上部癌和喉外侧缘癌。它包括切除声门上半喉和同侧梨状窦。
1979年至1994年期间，49例患者接受了该手术。中位年龄为51岁（40 - 72岁）。通过查阅患者记录收集数据。
2例患者在术后死亡。鼻胃管拔除的平均时间为14天。3年生存率为52%，5年生存率为47%。局部复发率为2%，颈部总体复发率为15%，15%的病例发生转移。
该手术的适应证为梨状窦上部癌和声带活动正常的喉缘癌。
