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Updated: Jun 11, 2026
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Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Respiratory complications after supracricoid partial laryngectomy
Anne Decotte1, Virginie Woisard, Josiane Percodani
1ENT, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, 24 Chemin de Pouvourville TSA 30030, 31059, Toulouse Cedex 9, France. anne.decotte@aliceadsl.fr
Summary
Respiratory complications after supracricoid partial laryngectomy are common but manageable. Preoperative assessment and precise surgical techniques can prevent or mitigate issues like infections and stenoses.
Area of Science:
- Otolaryngology
- Thoracic Surgery
- Oncology
Background:
- Supracricoid partial laryngectomy (SCPL) is a laryngeal cancer treatment.
- Respiratory complications can impact patient outcomes post-SCPL.
Purpose of the Study:
- To analyze the incidence, treatment, and prevention of early and late respiratory complications following SCPL.
- To evaluate outcomes in patients undergoing cricohyoidoepiglottopexy or cricohyoidopexy.
Main Methods:
- Retrospective review of 101 patients who underwent SCPL for laryngeal squamous cell carcinoma (1980-2006).
- Data collected included postoperative complications and time to decannulation.
- Statistical analysis, including univariate analysis, was performed.
Main Results:
- Mortality rate was 3.96%.
- Early complications (9.9%) included broncho-pulmonary infections and laryngeal stenoses; pulmonary complications correlated with neck dissections (p < 0.04).
- Late complications stemmed from laryngeal obstruction; median decannulation was 8 days, with delays linked to pulmonary issues.
Conclusions:
- Respiratory complications are frequent after SCPL but generally manageable.
- Preoperative pulmonary assessment is crucial for patient selection.
- Surgical techniques, including precise cartilage impaction and arytenoid repositioning, can prevent some stenoses.
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