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Near-Total Laryngectomy With Epiglottic ReconstructionLong-term Results
Harvey M. Tucker, MD;
Michael S. Benninger, MD;
Jay K. Roberts, MD;
Benjamin G. Wood, MD;
Howard L. Levine, MD
Arch Otolaryngol Head Neck Surg. 1989;115(11):1341-1344.
Abstract
• A previous report reviewed the technique and indications for near-total laryngectomy with epiglottic reconstruction in the management of squamous cell carcinoma of the glottis. This approach permits removal of most of both vocal folds, with immediate reconstruction using the epiglottis without the need for stenting or multistage procedures. Forty-eight patients underwent the procedure and were followed up for at least 2 years or until death. Seventeen underwent the surgery for recurrence after failure of radiation therapy for cure. Complications included one wound infection and one laryngocutaneous fistula. All patients underwent decannulation, with little or no compromise of swallowing. All but 1 now have functional voices. Of 8 patients with recurrence, 6 have been salvaged. Two patients died of disease. The value of near-total laryngectomy with epiglottic reconstruction for management of glottic cancer is reviewed.
(Arch Otolaryngol Head Neck Surg. 1989;115:1341-1344)
Author Affiliations
From the Department of Otolaryngology and Communicative Disorders, The Cleveland (Ohio) Clinic Foundation.
Footnotes
Accepted for publication January 5, 1989.
Presented at the Second International Conference on Head and Neck Cancer, Boston, Mass, August 3, 1988.
Reprint requests to Department of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195-5034 (Dr Tucker).
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