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Published on: March 18, 2020
Laryngeal function preservation following supracricoid partial laryngectomy
Alejandro Castro1, Isabel Sanchez-Cuadrado, Ricardo Bernaldez
1Department of Otolaryngology, La Paz University Hospital, Madrid, Spain. alejandrocastro@teleline.es
Supracricoid partial laryngectomy preserves voice and swallowing function in most patients. Careful patient selection leads to excellent long-term outcomes, with high rates of decannulation and oral intake.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncologic Surgery
Background:
- Supracricoid partial laryngectomy (SCPL) is a laryngeal preservation technique.
- It aims to maintain voice and swallowing functions post-surgery.
Purpose of the Study:
- Evaluate functional outcomes after SCPL.
- Assess voice and swallowing function, and survival rates.
Main Methods:
- Retrospective review of 41 patients undergoing SCPL since 1998.
- Functional evaluation of 26 patients with a minimum 3-month follow-up.
Main Results:
- 97% decannulation rate; 100% achieved oral intake.
- 66.5% 5-year laryngeal dysfunction-free survival.
- Good Voice Handicap Index (VHI) and MD Anderson Dysphagia Inventory (MDADI) scores.
Conclusions:
- SCPL offers laryngeal function preservation comparable to chemoradiation.
- Careful preoperative patient selection yields outstanding long-term functional results.
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