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Functional laryngectomy (cricohyoidopexy).

J J Piquet

    Clinical Otolaryngology and Allied Sciences
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Subtotal functional laryngectomy techniques, cricohyoidopexy and cricohyoidoepiglottopexy, offer good functional outcomes for extensive laryngeal tumors. Most patients (94%) achieved decannulation after these advanced surgical procedures.

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    Area of Science:

    • Otolaryngology
    • Surgical Oncology
    • Laryngeal Cancer Research

    Background:

    • Advanced laryngeal tumors often require extensive surgical intervention beyond standard partial laryngectomy.
    • Subtotal functional laryngectomy techniques aim to preserve laryngeal function while achieving oncological control.

    Purpose of the Study:

    • To describe two subtotal functional laryngectomy techniques: cricohyoidopexy for supraglottic tumors and cricohyoidoepiglottopexy for glottic tumors.
    • To evaluate the functional outcomes and decannulation rates in patients undergoing these procedures for extensive laryngeal cancers.

    Main Methods:

    • Surgical procedures detailed include cricohyoidopexy (for supraglottic tumors) and cricohyoidoepiglottopexy (for glottic tumors).
    • These techniques were applied to 61 patients with laryngeal tumors unsuitable for conventional partial laryngectomy.

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    Main Results:

    • The study involved 61 patients with extensive laryngeal tumors.
    • Functional results were reported as good, with a high decannulation rate of 94% among the treated patients.

    Conclusions:

    • Subtotal functional laryngectomy, specifically cricohyoidopexy and cricohyoidoepiglottopexy, are effective surgical options for extensive laryngeal tumors.
    • These techniques facilitate good functional outcomes and successful decannulation, improving quality of life for patients with advanced laryngeal cancer.