[Partial vertical laryngectomy with epiglottis reconstruction--Tucker technique].
OBJECTIVE: To evaluate the results of partial supracricoid laryngectomy with Tucker's reconstruction in T1b and T2 stages of glottic laryngocarcinoma. METHOD: One hundred and thirty-nine patients received partial supracricoid laryngectomy with Tucker's reconstruction were analyzed, among them, 127 patients (T1b-48, T2-79) had never been treated, 12 patients with glottic cancer (Tr) recurred after radiotherapy or cordectomy. We calculate survival rate and evaluate the function of larynx according to the stage. RESULT: For carcinology: 5-years survival rate for T1, T2 and Tr stages was 91%, 86% and 64% respectively; 5-years local control rate for T1, T2 and Tr stages was 100%, 94% and 82% respectively. With respect to the laryngeal function, the rate of decannulation is 100%, the average duration of decannulation is 10 days. The rate of the oblation of the naso-gastric tube is 99.3%. Six patients had accepted gastrotomy with difficulty during the deglutition of liquids; 1 patient had to have total laryngectomy because of incurable disorder of the deglutition. The time of the ablation of the naso-gastric tube is 15 days on average. One hundred and twenty-one patients (87%) presentented a satisfactory voice and only 18 patients have a medium voice quality. CONCLUSION: Tucker technique is a reliable intervention on the carcinology and laryngeal function for the glottic lesions of T1b and T2.