Tymchuk S. The principles of optimizations of the surgical treatment for patients with laryngeal cancer

The dissertation is devoted to elaboration and optimization of the surgical treatment for the patients who are suffering from laryngeal cancer, to the maximal using for these reasons the full specter of diagnostic investigations to determinate it their place among the rational methods of the reconstructive and restoring operations. In the first time were elaborated the effective methods of restore the basically laryngeal functions after reconstructive operations using the different autotransplantates. Their possibilities were demonstrated and improved the operative technic in cases of laryngeal cancer I-II stages. Particularly for there reasons were recommended the soft transplantats because we can coves different laryngeal defect after tumor removal of it. For the reconstructive operations in cases of III-IV cancer stages were recommended the hard or combined transplantates to save the laryngeal shape. For these porpoises are suitable sublingual bone in combination with soft part of the transplantat - m. rectus abdominis aponeneuroses or lump of lata. Particulary it concerns to middle, middle - vestibular, or under vocal areas cancer localization's.