Supracricoid partial laryngectomy: oncological and functional results

Area of Science:

• Otolaryngology
• Surgical Oncology
• Head and Neck Cancer Research

Background:

• Laryngeal squamous cell carcinoma (SCC) is a significant cause of morbidity and mortality.
• Surgical intervention is a primary treatment modality for laryngeal SCC.
• Supracricoid partial laryngectomy (SCPL) is a type of organ-preserving surgery for laryngeal cancer.

Purpose of the Study:

• To evaluate the oncological and functional outcomes of SCPL in patients with laryngeal SCC.
• To assess the efficacy and safety of SCPL in a large patient cohort.
• To analyze survival rates, recurrence patterns, and functional recovery after SCPL.

Main Methods:

• Retrospective analysis of 155 patients with laryngeal SCC treated with SCPL between 1998 and 2010.
• Included procedures were cricohyoidopexy (CHP) and cricohyoidoepiglottopexy (CHEP).
• Data collected included oncological outcomes (survival, recurrence) and functional outcomes (swallowing, decannulation).

Main Results:

• Overall survival at 3 and 5 years was 88.77% and 83.24%, respectively.
• Disease-free survival at 3 and 5 years was 84.4% and 81.55%, respectively.
• High rates of decannulation (100%) and early feeding tube removal (98.7% by day 22) were observed, indicating good functional recovery.

Conclusions:

• SCPL demonstrates oncological effectiveness and safety, aligning with existing literature for laryngeal SCC treatment.
• The procedure facilitates good organ preservation and successful recovery of laryngeal functions.
• SCPL is a viable organ-sparing surgical option for selected patients with laryngeal squamous cell carcinoma.