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[Retrospective analysis of supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function].

OBJECTIVE
To retrospectively evaluate the curative and functional consequences of supracricoid partial laryngectomy with epiglottis preserved.


METHODS
From 1980 to 1996, 78 patients underwent supracricoid partial laryngectomy with the epiglottis preserved. The survival rate and the functional results were analyzed.


RESULTS
Overall three-year survival rate was 87.2%(68/78), overall five-year survival rate was 75.6% (59/78), and ten-year survival rate was 21.1% (8/38). All patients resumed normal oral feeding. 97.4% (76/78) achieved tracheal extubation. Respiratory and speaking functions were good.


CONCLUSION
Supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function not only improved local cancer control, but also preserves laryngeal physiologic function.