Supraglottic Subtotal Laryngectomy

성문상역 부분후두적출술

  • Kim Kwang-Moon (Department of Otolaryngology, Yonsei University, College of Medicine) ;
  • Jang Gyun (Department of Otolaryngology, Yonsei University, College of Medicine) ;
  • Chun Young-Myung (Department of Otolaryngology, Yonsei University, College of Medicine) ;
  • Kim Gwi-Eon (Department of Radiation Oncology, Yonsei University, College of Medicine, Yonsei Cancer Center)
  • 김광문 (연세대학교 의과대학 이비인후과학교실) ;
  • 장균 (연세대학교 의과대학 이비인후과학교실) ;
  • 전영명 (연세대학교 의과대학 이비인후과학교실) ;
  • 김귀언 (연세 암센타 치료방사선과)
  • Published : 1987.09.01

Abstract

The supraglottic subtotal laryngectomy represents a conservation laryngeal procedure in which the upper portion of the larynx is removed without sacrificing the normal functions of the remaining larynx. The basis for this procedure rests in the embryologic derivation and consequent anatomic compartmentalization of the larynx and its lymphatics, which limit tumor spread. This procedure is performed for carcinoma involving the epiglottis and false cords, and can be extended to include carcinomas of the aryepiglottic fold and the anterior and lateral walls of the pyriform sinus and selected lesions involving the vallecula and base of the tongue. Recently the authors has experienced 4 cases of supraglottic cancer, which were performed supraglottic subtotal laryngectomy. One of which was died because of local recurrence, and the remaining cases were successful with satisfactory rehabilitation without local recurrence and impairment of voice and swallowing.

Keywords