La chirurgie partielle des cancers glottiques. Attitudes thérapeutiques et résultats.

Partial laryngectomy for glottic carcinoma. The authors report their first results on 63 patients who underwent a partial laryngectomy for glottic carcinoma from 1980 to 1986. The global three years survival rate is 70%. The selected operations are the cordectomy, the fronto-lateral laryngectomy according to Leroux-Robert, the reconstructive near total laryngectomy according to Tucker, the reconstructive subtotal laryngectomy according to Majer-Piquet and Labayle. On the occasion of this paper, a scale is presented for the appreciation of the obtained functional results as for the three laryngeal functions: the breathing, the swallowing and the phonation. The mean time before the tracheal tube removal indicating the recovery of these three functions ranges from 5 days for the cordectomy which is the simplest operation to 38 days for the reconstructive subtotal laryngectomy according to Labayle which is the heaviest. Only one serious post-operative complication is noted for the 63 patients. It is a death following a coma after laryngeal oedema. A partial laryngectomy is possible after radiotherapy provided the rules according to Biller and Croll were respected.