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[Functional recovery in subtotal laryngectomies]
M de Vincentiis1, G Ruoppolo, P Calcagno
1IV Clinica O.R.L. Università di Roma La Sapienza.
Summary
Subtotal laryngectomy is a safe oncologic procedure preserving laryngeal function. Crico-hyoid-epiglotto-pexia yielded better voice and swallowing outcomes than crico-hyoid-pexia, ensuring good social reintegration.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncologic Surgery
Context:
- Subtotal laryngectomy is a laryngeal cancer treatment option.
- The procedure aims to preserve the cricoid-arytenoid unit for functional outcomes.
- This study evaluates two surgical techniques: crico-hyoid-pexia and crico-hyoid-epiglotto-pexia.
Purpose:
- To assess the functional outcomes of subtotal laryngectomy.
- To compare the efficacy of crico-hyoid-pexia versus crico-hyoid-epiglotto-pexia in terms of phonation and deglutition.
- To evaluate the impact of these procedures on patients' social reintegration.
Summary:
- Eighty-five patients underwent subtotal laryngectomy between 1984 and 1992.
- Fifty patients completed phoniatric examinations; 28 had crico-hyoid-pexia, and 22 had crico-hyoid-epiglotto-pexia.
- Crico-hyoid-epiglotto-pexia demonstrated superior phonatory and deglutition results compared to crico-hyoid-pexia.
Impact:
- Subtotal laryngectomy offers a viable oncologic treatment with functional preservation.
- Crico-hyoid-epiglotto-pexia appears to be a more effective reconstructive technique for voice and swallowing.
- Successful functional recovery facilitates good social reintegration for patients treated with subtotal laryngectomy.