[Horizontal supraglottic laryngectomy. Study on 41 operated cases between 1989-1996 in La Rioja]

The AA. conduct a retrospective study done with 41 patients operated upon and followed up at the Otolaryngological Department of San Millán y San Pedro Hospital complex, Logroño, between 1989 and 1996. Horizontal supraglottic laryngectomy was the performed surgery, and patients classified in stages I, II, III or IV. The fundamentals of this procedure the oncologic and functional results as well and the survival rate are analysed. Four points are stressed: 1st. The descent of the base of the tongue eases the postoperative swallow. 2nd. The survival shows that recurrences like lymph nodes metastases are the best prognostic factor, with an OR of 2.61. 3rd. More advanced stages have less survival tendency. 4th. The excellence of this technique is evident, having had only one case of local recurrence in our series resolved through totalization of the laryngectomy.