Supracricoid laryngectomies: long-term oncological and functional results.

Abstract:

CONCLUSIONS:Our results confirm that supracricoid laryngectomies (SL) are reliable techniques for glottosupraglottic tumors, even for selected T3 and T4 cases, if the indications are correct. These surgical techniques allow a good quality of life with the preservation of the larynx. OBJECTIVE:SL with cricohyoidoepiglottopexy (CHEP) and cricohyoidopexy (CHP) have been popular over the last 20 years for the treatment of the glottic and/or supraglottic squamous cell carcinoma due to demonstrated good oncological and functional results. We report our experience with these techniques, with special focus on long-term oncological and functional results. PATIENTS AND METHODS:We retrospectively reviewed 206 patients who had undergone SL with CHEP or CHP technique between 1987 and 1998 for glottosupraglottic squamous cell carcinoma in our department. The long-term results for 206 patients with T1-T4 laryngeal carcinomas treated with SL are reported: 90.8% CHEP and 9.2% CHP. The mean follow-up was 62 months. RESULTS:Oncological results: the 5-year actuarial disease-free survival was 85%; the 5-year determinate actuarial survival was 88.3%. Functional results: organ preservation rate was 97%. Phonation was assessed according to the GRBAS scale.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Laudadio P,Presutti L,Dall'olio D,Cunsolo E,Consalici R,Amorosa L,Cancellieri A,Bocciolini C

doi

10.1080/00016480500469024

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

640-9

issue

6

eissn

0001-6489

issn

1651-2251

pii

W587K7N3H6112R67

journal_volume

126

pub_type

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