Different Surgical Procedures Of Supraglottic Carcinoma Postoperative Analysis

Analyze the postoperative quality of life (PQOL) of the different surgical approaching routes of supraglottic carcinoma patient. Methods:139 patients with Supraglottic carcinoma received surgical treatment 2003-2013 in our hospital, complete resection, postoperative more than 5 years follow-up. Results 114 male patients,25 female patients, men and women ratio is about 4.56:1. Age 37-79, the average age is 60.3 years, 102 cases is primary epiglottis surface (73.4%), followed by the primary ventricular fold and ventricle of larynx,13 cases (9.4%).11 cases (7.9%) were original from the epiglottis root.7 (5.0%) were original from aryepiglottic fold. The original from the epiglottis lingual only 5 cases, accounted for 3.6%,1 (0.7%) cases were original from arytaenoidea cartilago. 94 case done epiglottis valley road,13 cases underwent supra-anterior commissure road,32 cases received lateral wall of larynx road.9 cases were incomplete removal of the epiglottis,130 cases resected the epiglottis completely.64 cases applied pulling down the tongue-base,25 cases without choking postoperative,19 cases had mild choking,4 cases had moderate choking,16 cases had severe choking.33 cases applied uni-pedicled stemohyoid myofascial flap.9 case without choking postoperative,10 cases had mild choking,12 cases had moderate choking,2 cases had severe choking.30 cases applied tongue flaps.13 case without choking postoperative,13 cases had mild choking,4 cases had moderate choking. The average postoperative hospitalization days is 20.1 days, postoperative decannulation rate was 88%, The oral feeding time about 13～30 days..3 year survival rate was 88%, the 5-year survival rate was 70%. Conclusion the sex ratio of Supraglottic carcinoma and the glottis and subglottic carcinoma has a statistically significant difference (P<0.05). Based the lesion range, select the appropriate repair mode, helps to improve the prognosis of patients, improve patient quality of life. The different repair mode survival rates has significant difference. tongue flaps survival rates was higher than uni-pedicled sternohyoid myofascial flap. Supraglottic carcinoma patients should improve the preoperative and postoperative examination.