Abstract:Abstract:ObjectiveTo analyze the laryngeal function after supracricoid partial laryngectomy(SCPL) in patients suffering from laryngeal squamous carcinoma.MethodsClinical data of 38 patients suffering from laryngeal squamous carcinoma and underwent SCPL from the year 2000 to 2006 was analyzed retrospectively. Of them, the tumor was supraglottic in 17 cases and glottic in 21. Postoperative radiotherapy with 60~65 Gy of cumulative radiation dose was applied to 8 patients. Their functions of respiration, phonation and deglutition were evaluated and analyzed statistically.ResultsThe 3year and 5year survival rates of all patients were 81.6% and 73.7% respectively. The 3year and 5year survival rates of supraglottic group were 76.5% and 64.7%, while those of glottic group were 85.7% and 81%. Decannulation was achieved in all cases. The average decannulation time, mean nasogastric tube removing time and duration of hospital stays in patients with removal of epiglottis and unilateral arytaenoid cartilage were longer than those of the others, and the differences were statistically significant. However, evaluation of their respiration and phonation showed insignificant differences.ConclusionsSupracricoid partial laryngectomy is positive for reservation of laryngeal function in the treatment of laryngeal carcinoma. Removal of epiglottis and unilateral arytenoid will not influence the longterm recovery of laryngeal function.