Carrat X, Francois J M, Devars F, Carles D, Traissac L
Department of Otorhinolaryngology-Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, France.
J Laryngol Otol. 1997 Sep;111(9):833-8. doi: 10.1017/s0022215100138757.
The authors report on their experience with 25 cases of horizontal glottectomy and discuss the functional and oncological results of this operation. Indications for this procedure are T1a and T1b glottic carcinomas. The overall three-year and five-year survival was respectively 94 and 88 per cent. Distant metastasis appears to be the major long-term failure, three patients dying of lung carcinoma. Short functional rehabilitation was observed in all cases. Decannulation was achieved in 100 per cent of the cases and none of our patients had laryngeal stenosis. The average time of removal of the nasogastric tube was 11.8 days. Because of its high local control and reduced functional after effects, horizontal glottectomy appears to be a reliable and safe procedure for limited glottic carcinomas and must be included in their therapeutic management.
作者报告了他们25例水平喉切除术的经验，并讨论了该手术的功能和肿瘤学结果。该手术的适应症为T1a和T1b期声门癌。总体三年和五年生存率分别为94%和88%。远处转移似乎是主要的长期失败原因，3例患者死于肺癌。所有病例均观察到短期功能康复。100%的病例实现了拔管，我们的患者均未出现喉狭窄。鼻胃管拔除的平均时间为11.8天。由于其高局部控制率和减少的功能后遗症，水平喉切除术似乎是治疗局限性声门癌的一种可靠且安全的手术，必须纳入其治疗方案中。
