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Laryngeal function after supracricoid laryngectomy.

Koichiro Saito1, Koji Araki, Kaoru Ogawa

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Supracricoid laryngectomy (SCL) in 24 patients showed acceptable laryngeal function recovery. Patients achieved normal diet intake and vocal communication, indicating tolerable quality of life after the procedure.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Oncology

Background:

  • Supracricoid laryngectomy (SCL) is a surgical option for laryngeal cancer.
  • Reconstruction techniques include cricohyoidoepiglottopexy and cricohyoidopexy.

Purpose of the Study:

  • To evaluate laryngeal function, including speech and swallowing, after supracricoid laryngectomy.
  • To assess the quality of life in patients who underwent SCL.

Main Methods:

  • Retrospective chart review of 24 patients undergoing SCL.
  • Postoperative assessment of speech and swallowing function.
  • Stroboscopy/fiberscopy for neoglottis kinetics, acoustic analysis for vocal function, and QOL questionnaires.

Main Results:

  • Successful stoma closure and normal diet intake within 1 month post-surgery in uncomplicated cases.
  • Observed various vibrating regions in the neoglottis during phonation.
  • Vocalization was rough and breathy but allowed for functional communication.

Conclusions:

  • Supracricoid laryngectomy can lead to acceptable functional recovery.
  • Patients can achieve a tolerable quality of life after SCL.