PubMed1997
To evaluate the effect of partial laryngectomy for the treatment of glottic carcinoma, 126 patients with glottic carcinoma were reviewed. Between 1974 and 1994, 132 patients with glottic carcinoma were treated. Up to Dec. 1994, 126 cases (95%) had been followed-up and analyzed statistically in this paper. According to TNM classification (UICC 1987), 98 (77.8%) of them were T1.2, 28 (22.2%), T3.4. One patient was T4N1, and the rest 125 were No. All patients were M0 on admission. A total of 126 patients underwent partial laryngectomy. Among these patients, 89 were treated with surgical procedures alone, and 4 received pre-operative 33 post-operative, radiotherapy. Survival curves were plotted by the method of Kaplan and Meier. The results showed that three-year, five year and ten-year survival rates for 126 patients were 94.7%, 89% and 86.1% respectively; Those for group of T1.2 were 97.8%, 95.1% and 93.3%; For T3.4 were 83.2%, 62.7% and 52.3%. All patients preserved their voice and were able to communicate by speech after operation. The function of larynx was satisfactory. It was concluded that partial laryngectomy is preferable choice for the treatment of glottic carcinoma.