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Published on: March 18, 2020
Supracricoid laryngectomy: oncological and functional outcome
Ali Vefa Yücetürk1, Kivanç Günhan
1Department of Otolaryngology, Medicine Faculty of Celal Bayar University, Manisa, Turkey. alivefayuceturk@yahoo.com
Summary
Supracricoid laryngectomy (SCL) offers significant functional benefits for laryngeal cancer patients, with good oncological outcomes and manageable complications. This organ-preserving surgery demonstrates satisfactory voice and swallowing results, making it a viable alternative to total laryngectomy.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Supracricoid laryngectomy (SCL) is an organ-preserving surgical technique for laryngeal cancer.
- Evaluating its oncological safety and functional outcomes is crucial for patient management.
Purpose of the Study:
- To assess the oncological results and postoperative course of supracricoid laryngectomy.
- To evaluate mortality, morbidity, and functional outcomes, including voice and swallowing.
Main Methods:
- Retrospective analysis of 15 patients with primary laryngeal squamous cell carcinoma undergoing SCL.
- Follow-up exceeding two years, including neck dissection in select cases and adjuvant radiotherapy when indicated.
Main Results:
- Successful decannulation in all patients (mean 18 days) with satisfactory voice and swallowing.
- Mean oral feeding resumption at 6 days and nasogastric tube removal at 15.7 days.
- No recurrences or mortality observed; low complication rate (20%) including wound infection and aspiration pneumonia in one case.
Conclusions:
- Supracricoid laryngectomy provides comparable local control rates to total laryngectomy.
- SCL demonstrates clear functional advantages, particularly in voice and swallowing preservation.
