Zhuang H, Liang S, Ji H
Jinan Command General Hospital, PLA.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(6):368-70.
26 cases of the epiglottic cancer extended to the base of the tongue were studied retrospectively. Among them, 14 were male and 12 female. The age varied from 43 to 62. Besides two cases who underwent total laryngectomy, the other twenty-four were treated with supraglottic horizontal partial laryngectomy or horizontovertical subtotal laryngectomy and resection of part of base of the tongue. 11 cases received bilateral radical neck dissection (RND) and 10 cases unilateral RND simultenously. The results showed twenty-four cases had resumed speaking ability, twenty had been decannulated and restored the laryngeal functions. The 5-year survival rate was 57.9% (12/19). It was concluded that transpharyngeal approach was reasonable for supraglottic horizontal partial laryngectomy associated with the resection of the base of the tongue.
对26例会厌癌侵犯至舌根的患者进行回顾性研究。其中男性14例，女性12例。年龄在43至62岁之间。除2例行全喉切除术外，其余24例行声门上水平部分喉切除术或水平垂直部分喉切除术及部分舌根切除术。11例同时行双侧根治性颈清扫术（RND），10例行单侧RND。结果显示，24例恢复了说话能力，20例拔管并恢复了喉功能。5年生存率为57.9%（12/19）。结论：经咽入路行声门上水平部分喉切除术联合舌根切除术是合理的。
