Related Experiment Video
Updated: May 25, 2026
"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
Published on: November 28, 2025
[Long-term treatment outcome in patients undergoing cricohyoidoepiglottopexy for glottic carcinoma]
Meng-jia Fei1, Ya-nan Xu, Jia-dong Wang
1Department of Otorhinolaryngology Head and Neck Surgery, Renji Hospital, Medical School of Shanghai Jiaotong University, Shanghai 200001, China.
Objective:
To investigate the long-term results of cricohyoidoepiglottopexy(CHEP) in the treatment of glottic carcinoma.
Methods:
A retrospective chart review of 92 consecutive patients who underwent CHEP in the selected institut from January 1990 to December 2008. Of the 92 cases, 41 cases of stage I, 39 cases of stage II, 12 cases of stage III. The time for the decannulation and the removal of the nasal feeding and quality of phonation were used for evaluating postoperative functional rehabilitation. The estimated long-term survival rates were calculated by Kaplan-Meier method.
Results:
Among 92 patients, 26 cases (27 sides) received neck dissection and lymph nodes were pathologically positive in 3 patients (11.1%). All final surgical margins were negative for tumor invasion. Seven patients had postoperative radiotherapy and one had chemoradiation. Thirteen patients (14.1%) were found local recurrence and nine patients (9.8%) had postoperative metastases. Overall 3-, 5- and 10-year survival rates were 90.0%, 84.5% and 67.0% respectively. Cox multivariate analysis showed that the recurrence had significant influences on the overall survival rate.
Conclusion:
CHEP not only is relatively easy to master, but also effective in the treatment of glottic carcinoma.
