2021 Volume 33 Issue 02 Pages 149-154
Laryngeal partial laryngectomy can be broadly divided into trans-oral cordectomy, vertical partial laryngectomy, horizontal partial laryngectomy, and supracricoid partial laryngectomy. It was developed as a laryngeal-preserving surgery in the early 20th century and has since become one of the most important laryngeal-preserving treatments for laryngeal cancer. Trans-oral cordectomy is a standard treatment for early-stage cancers, and the indication should be considered by taking into account the different factors associated with the tumor, patient, and medical staff. Open partial laryngectomy is mainly positioned as a salvage treatment for post-RT recurrence. It can also be used for the initial treatment of patients with anterior segment or selected advanced cancer; good results have been obtained with this treatment. A downward trend in the number of partial laryngectomies is expected, but as the late effects of radiotherapy become an issue, the role of laryngeal preservation surgery should receive focus once more. In our super-aging society, we will encounter dysphagia due to aging with increasing frequency. Achieving total laryngectomy and postoperative rehabilitation are more important than preserving the larynx for elderly patients.
