Vertical Partial Laryngectomy

Abstract

During the period of 19 years from 1973 to 1991, 33 patients, 30 males and 3 females, with glottic cancer were treated with vertical partial laryngectomy followed by a laryngeal reconstruction in our clinic. Their age ranged from 35 to 75 years, with an average of 56.2. Of the 33, 8 cases had a T1 ; 23 cases, a T2 ; and 2 cases, a T3 lesion. Two patients developed local recurrence two and 8 years, respectively, after vertical partial laryngectomy. In order to make a glottic bulge, a pedicled thyrohyoid muscle and sternohyoid muscle flaps were employed. The surface of the muscle flaps was covered with a hypopharyngeal mucosal flap or a cervical skin flap. The phonatory function after glottal reconstruction did not differ significantly among the materials used for the reconstructed glottis.