Modified MajerPiquet surgery glottic reconstruction of laryngeal function.doc

 PAGE \* MERGEFORMAT 7 Modified MajerPiquet surgery glottic reconstruction of laryngeal function Of: Lin Chin-Chao, Zhuang Liming, Lin Wei, the YE, Liao Jun [Abstract] Objective To investigate the surgical treatment of modified Majer Piquet glottic carcinoma of the efficacy and postoperative recovery of laryngeal function. Methods Retrospective analysis of the purposes of improving Majer Piquet 30 cases of surgery in patients with glottic carcinoma clinical data, which T1N0M0 12 , T2N0M0 12 , T3NoM0 6 cases. surgical membrane is characterized by the thyroid cartilage repair throat, glottis and to retain the formation of new lateral 1 / 3 of the thyroid cartilage. the removal of ipsilateral arytenoid cartilage after autologous with small placed in the original arytenoid throat, after reducing the gap imposed. The results were good in all patients to obtain three functions of the larynx (by mouth breathing, sound good, normal swallowing, extubation after year survival rate of .3 100% (18/18). Conclusion The modified Majer Piquet both surgical resection of the lesions of glottic carcinoma, but also reconstruction of laryngeal function, and to avoid accidental swallowing and other postoperative complications, improve patients quality of life. [Keywords:] supraglottic laryngectomy laryngeal cancer surgery thyroid cartilage repair Majer Piquet surgery, also known as cricoid cartilage epiglottis hyoid bone fixation (crico hyoido epiglottopexy, CHP), the laryngeal reconstruction after resection of laryngeal and respiratory function in the pronunciation of Reconstruction laryngectomy [1]. I was in July 1996 -2008 May the purposes of improving Majer Piquet surgery in patients with glottic carcinoma, 30 cases are reported below. 1 Subjects and methods 1.1 Object 30 patients were male, age (61 + -19 years (42 to 80 years old. Preoperative pathological diagnosis are squamous cell carcinoma. With reference to the 1987 UICC TNM staging system [2], which T1N0