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Published on: March 18, 2020
Supraglottic laryngectomy: analysis of 267 cases
Maria Agustina Sevilla1, Juan Pablo Rodrigo, José Luis Llorente
1Department of Otorhinolaryngology, Hospital Universitario Central de Asturias, and Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Asturias, Spain.
Summary
Horizontal supraglottic laryngectomy (HSL) preserves larynx function and avoids permanent tracheotomy. This study shows HSL offers optimal oncological control for laryngeal cancer preservation.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Surgical Oncology
Background:
- Horizontal supraglottic laryngectomy (HSL) is a surgical technique for laryngeal cancer.
- It aims to preserve larynx function and avoid permanent tracheotomy.
Purpose of the Study:
- To report the experience and outcomes of HSL for supraglottic squamous cell carcinoma.
- To evaluate functional and oncological results, including laryngeal preservation.
Main Methods:
- Retrospective study of 267 previously untreated patients with supraglottic squamous cell carcinoma.
- Patients underwent HSL between January 1978 and May 2002.
- Outcome measures included local/regional control, disease-specific survival, and laryngeal preservation rates.
Main Results:
- Overall recurrence rate was 29% (local 8%, regional 17%).
- 5-year disease-specific survival rate was 73%.
- 5-year laryngeal preservation rate was 82%.
- N3 lymph node metastases and T4 primary tumors were independent predictors of reduced survival.
Conclusions:
- HSL provides optimal locoregional oncological control for laryngeal preservation in selected patients.
- The procedure demonstrates favorable survival and laryngeal function outcomes.
- Careful patient selection is crucial, considering tumor stage and nodal status.
