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Oncologic outcomes after supracricoid partial laryngectomy.

Isabel Sánchez-Cuadrado1, Alejandro Castro, Ricardo Bernáldez

  • 1La Paz University Hospital, Madrid, Spain. iscuadrado@gmail.com

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 16, 2011
PubMed
Summary

Supracricoid partial laryngectomy offers safe oncologic outcomes for selected patients with glottic and supraglottic cancers. This laryngeal preservation surgery demonstrates high local control rates, maintaining laryngeal function in most cases.

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Area of Science:

  • Otorhinolaryngology
  • Surgical Oncology
  • Head and Neck Cancer Research

Background:

  • Squamous cell carcinoma of the larynx (glottic and supraglottic) presents treatment challenges.
  • Partial laryngectomy techniques aim to balance oncologic control with functional preservation.
  • Supracricoid partial laryngectomy is a reconstructive approach for laryngeal cancer.

Purpose of the Study:

  • To evaluate the oncologic safety and functional outcomes of supracricoid partial laryngectomy.
  • To assess local control, disease-specific survival, and overall survival rates.
  • To identify the suitability of this procedure for selected laryngeal cancer patients.

Main Methods:

  • Retrospective case series with chart review.
  • Analysis of 41 patients with glottic/supraglottic squamous cell carcinoma.

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  • Evaluation of local control, disease-specific survival, and overall survival rates.

    • Main Results:

    • A 5-year actuarial local control rate of 80% was observed (92% for T1-T2, 67% for T3-T4).
    • Laryngeal preservation was achieved in 85% of patients; total laryngectomy was reserved for recurrence.
    • Postoperative complications included pneumonia and bleeding; one perioperative death occurred.

    Conclusions:

    • Supracricoid partial laryngectomy is an oncologically sound procedure for selected patients.
    • The technique effectively preserves laryngeal function while achieving high cancer control rates.
    • Careful patient selection is crucial for successful outcomes in laryngeal cancer treatment.