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9 1) Alonso, J.M.: La chirurgie conservatrice pour le cancer du larynx et de l'hypopharynx. Ann. d'oto-laryng: 68; 444, 1951, 68; 689, ) Aubry, M. et al: L'hemilaryngectomie avec reconstruction plastique. Ann. d'oto-laryng: 68; 129, ) Figi, F.A.: Hemilaryngectomy with immediate skin graft for removal of carcinoma of the larynx. Trans. Amer. Acad. Ophthal. Otolaryng Jan-Feb. 22. (1954) 4) Gluck, T. et al: Handbuch der spezielle chirurgie des Ohres and der oberen Luftwege (Wurzburg 1913) 5) Huet, P.C.: Caner de-l'epiglotte. Hyo-thyro- epiglottectomie. Ann. d'oto-laryng: 11; ) Leroux-Robert. J.: La chirurgie conservatrice par laryngofissure ou laryngectomie partielle dans le cancer du larynx. Ann. d'oto-laryng: 74; 41, Fortschritt d. Hals-Nasen-Ohrenheilkunde: IX, 44 (Basel 1961) 8) Mundnich, K.: Eine Methode einer geschl- vollstandigen Hemilaryngectomie Arch. Ohren usw-heilk: 164; 466, ossenem (1954) 9) Norris Ch. M.: Technique of extended frontolateral partial laryngectomy Laryngoscope: 68; 1240 (1658) 10) Novotony, O.: Zur Epiglottis exstirpation
10 wegen Karcinom Wien klin. Wschr: 24; 501 (1953) 11) Piquet, J.: Les indications operatoires de la laryngectomie partielle verticale (hemilaryngectomie) Ann. d'oto-laryng: 74; 5 (1957) 12) Portmann, G.: La chirurgie economique pour le traitement des cancers glosso-pharyngo larynges Rev. Laryng: 74; 5 (1957) 13) Pressman, J. et al: Further studies upon the submucosal compartments and lymphatics of the larynx by the injection of dyes and radio isotopes. Ann. Oto. etc (Am): 65; 963 (1956) Evaluation of subtotal laryngectomy based upon studies of the lymphatics of the larynx and neck. Laryngoscope: 71; 1019 (1961) Anatomic studies related to the dissemination of the larynx. Cancer: 14; 1131 (1961) 14) Rouviere H.: Anatomie des lymphatiques de l'homme. Masson et Cie (1932) 15) Som, M.L.: Surgical treatment of carcinoma of the epiglottis by lateral pharyngectomy. Trans. Amer. Ophthol. Otolaryng; Jan-Feb (1959) 16) Thomson, St. C.: Cancer of the larynx(london) (1930) 17) Welsh, L.w. : Analysis of laryngeal compartments Ann. Oto. etc(am): 71; 913 (962) 254 \ 20
11 ABSTRACTS Indication of Partial Laryngectomy Toshio Kaneko Department of Oto-Rhino-Laryngology Chiba University laryngectomized cases were analysed in consideration of location, extention and microscopic character of lesion. lymphadenopathy and mobility of vocal cord etc. The resulte obtained by these experiments to formulate criteria of the indication to the partial laryngectomy. B) Determination of indication X-ray diagnosis especially tomography or contrast laryngography and endoscopy are indispensable to determine the extension of laryngeal cancer. But it is difficult to ascertain the submucous infiltration of the cancer. To resolve this problem, pulsed ultrasound was clinically applied and the extention of the cancer to the submucous area was sufficiently recognized before operation by A and B scan. C) Conclusion Although our cases can not prove the long term resulte, partial laryngectomy (vertical and horizontal) must be applied more frequently after confirming its indication by the diagnostic procedure mentionned previously. A) Criteria of indication In order to formulate the criteris for selection of partial laryngectomy, the following experiments were performed. 1) The compartmentalisation of lymphatic flow were reconfirmed by the injection of radiogold 198 Au into the different area of animal larynx. 2) The mode of spread of laryngeal cancer were minutely analysed by the anatomo-pathological examination on the specimens extirpated by the total laryngectomy. 3) Clinical observation of the partial
1970. 8) Komorn, R. M. et al.: Vocal rehabilitation with a tracheo-esophageal shunt, Arch. Otolaryngol., 97: 303 `305, 1973. 10) Arslan, M. &Serafini, I.: Restoration of Laryngeal functions after total
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