Coates H L, DeSanto L W, Devine K D, Elveback L R
Arch Otolaryngol. 1976 Nov;102(11):686-9. doi: 10.1001/archotol.1976.00780160082009.
Between 1962 and 1971, 221 patients (197 men and 24 women) with carcinoma of the supraglottic larynx were treated at our institution. Most of the patients were in the sixth and seventh decades of life. In 89% of the patients, the epiglottis was involved. One hundred ninety patients underwent surgery, 161 for cure initially and 29 for salvage after radiation failure. Definitive surgery included laryngectomy in 117 patients and conservation procedures in 40. Fifty-five patients were treated by radiation for cure. Survival rates after laryngectomy or supraglottic laryngectomy were similar, but radiation therapy carried a poorer prognosis than did definitive surgery. Routine neck dissection was not necessary in all patients with supraglottic carcinoma.
1962年至1971年间，我院共收治了221例声门上型喉癌患者（197例男性，24例女性）。大多数患者年龄在六七十岁。89%的患者会厌受累。190例患者接受了手术，其中161例最初是为了根治，29例是在放疗失败后进行挽救性手术。根治性手术包括117例行喉切除术，40例行保留手术。55例患者接受放疗以根治。喉切除或声门上喉切除术后的生存率相似，但放疗的预后比根治性手术差。并非所有声门上型癌患者都需要常规行颈部淋巴结清扫术。
