Objective: To investigate the long term results of Majer-Piquet's operation in the treatment of glottic type of laryngeal carcinoma.
Methods: A series of 32 cases operated on between October 1990 and February 1995 were analysed, of whom 21 were T1N0M0, 3 were T1N1M0, 5 were T2N0M0 and 1 each for T2N1M0, T3N0M0, T3N1M0.
Results: In T1 cases, 2, 3 and 5 years survival rate were 95.8, 93.7 and 90.9% respectively, while in T2 cases, 2, 3 and 5 years survival rate were 100%, 83.3% and 60% respectively. Decannulation rate was 96.9%. All patients could finally take food by mouth without inspiration, and could speak as soon as decannulated. By modifing the operative technique, the cases operated on after 1994 got relatively better results in phonation.
Conclusion: Majer-Piquet's operation not only is effective in the treatment of T1, T2 and some T3 glottic type of laryngeal carcinomas, but also can satisfactorily reserve laryngeal function and improve the quality of patient's life.