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Published on: March 18, 2020
Results after supracricoid horizontal partial laryngectomy
A J Gonçalves1, A A T Bertelli, T R Malavasi
1Discipline of Head and Neck Surgery, Medical Sciences Faculty, Santa Casa Hospital, São Paulo, São Paulo, Brazil. dr.goncalves@uol.com.br
Auris, Nasus, Larynx
|June 30, 2009
Summary
Supracricoid horizontal partial laryngectomy (SCPL) offers effective oncological outcomes and good functional results for laryngeal cancer patients. This surgical technique preserves larynx function in most cases, with successful swallowing and speech rehabilitation achieved.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Laryngeal cancer treatment requires balancing oncological control with functional preservation.
- Supracricoid horizontal partial laryngectomy (SCPL) is a surgical option for laryngeal cancer.
Purpose of the Study:
- To analyze the oncological and functional outcomes of SCPL in patients with laryngeal squamous cell carcinoma (SCC).
Main Methods:
- A retrospective study of 20 patients with laryngeal SCC who underwent SCPL between 1996 and 2005.
- Analysis included oncological results (recurrence, survival, metastases) and functional preservation (swallowing, speech, larynx function).
Main Results:
- Successful swallowing and speech rehabilitation was achieved in 18 out of 20 patients.
- Larynx functional preservation was 85%; 10% of patients required total laryngectomy due to failed rehabilitation or recurrence.
- Three patients underwent total laryngectomy, two for rehabilitation failure and one for recurrence.
Conclusions:
- SCPL is an efficient surgical oncology technique for laryngeal cancer.
- The procedure yields favorable oncological results and good functional outcomes, preserving larynx function.

