Objective: To assess the effectiveness of supracricoid subtotal laryngectomy in the treatment of laryngeal cancer and the reconstructed laryngeal functions.
Method: A retrospective review was made on 411 laryngeal cancer patients in the stage T2 to T4 treated by this surgical procedure form 1985 to 2000. In these cases, 35 were glottic cancers, 6 were supraglottic cancers, 23 patients were performed by supracricoid subtotal Laryngectomy with cricohyoidoepiglottopexy, 18 were performed with cricohyoidopexy.
Result: Over 3 year and 5 year survival rates were 83.3%(30/36) and 71.4% (20/28). Decannulation rate was 92.7% (38/41). 40 patients resumed normal oral feeding but one was still performed an operation to separate the tracheal from pharynx because of the severe aspiration. All cases were able to speak by the new larynx.
Conclusion: Supracricoid subtotal laryngectomy with laryngeal reconstruction was not only completely removal of tumors, but also restored the three physiological functions of larynx. It is an effective treatment for laryngeal cancer.