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Indications, Technique, and Results

Rose M. Mohr, MD; David J. Quenelle, MD; Donald A. Shumrick, MD

Arch Otolaryngol. 1983;109(6):384-395.

Abstract
• The hemilaryngectomy procedure includes the entire hemithyroid cartilage with the extent of the cartilage cut beyond the midline determined by endoscopy and cord cut determined after anterolateral pharyngotomy to minimize or maximize the procedure according to tumor size. Hypopharyngeal or piriform sinus mucosa was used to reconstruct the resected hemilarynx. There were 56 male subjects and one female subject. The mean age was 59 years. All had squamous cell carcinoma. There were 25 T1 lesions. Their 3-, 5-, and 10-year adjusted survival rate was 100%. The average survival in years was 6.6. Five T1 tumors were radiation failures. There were 27 T2 lesions. Their three-year adjusted survival rate was 100%; five-year rate, 94.1%; and ten-year rate, 84.7%. The average survival in years was 5.48. There were five T3 lesions. Their 3-, 5-, and 10-year adjusted survival rate was 100%. The average survival in years was 8.4.

(Arch Otolaryngol 1983;109:384-395)

Author Affiliations
From the Division of Otolaryngology, Veterans Administration Medical Center and Albany (NY) Medical College (Dr Mohr); the Departments of Otorhinolaryngology, Head and Neck Surgery, and Facial Plastic Surgery, Santa Rosa, Calif (Dr Quenelle); and the Departments of Otolaryngology and Maxillofacial Surgery, University of Cincinnati Medical Center and VA Medical Center (Dr Shumrick). Dr Mohr is now with Temple University School of Medicine, Philadelphia.

Footnotes
Accepted for publication Oct 26, 1982.

Read in part before the American Society for Head and Neck Surgery, Palm Beach, Fla, May 5, 1982.

Reprint requests to Department of Otorhinology, Laryngology, and Bronchoesophagology, Temple University School of Medicine, 3400 N Broad St, Philadelphia, PA 19140 (Dr Mohr).

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