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Supratracheal partial laryngectomy: indications, oncologic and functional results
Giovanni Succo1, Marco Fantini, Giuseppe Rizzotto
1aOtorhinolaryngology Service, Department of Oncology, Candiolo Cancer Institute FPO-IRCCS, University of Turin, Turin bOtorhinolaryngology Service, Vittorio Veneto Hospital, Vittorio Veneto, Treviso, Italy.
Current Opinion in Otolaryngology & Head and Neck Surgery
|February 8, 2017
Summary
Supratracheal laryngectomy offers promising oncologic and functional outcomes for select laryngeal cancer patients. This function-sparing approach, particularly for tumors with subglottic extension, is a valid therapeutic option.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Laryngeal cancer treatment often involves balancing oncologic control with functional preservation.
- Partial laryngectomies represent a spectrum of function-sparing surgical techniques.
Purpose of the Study:
- To review current evidence on supratracheal laryngectomies.
- To detail indications, contraindications, oncologic results, functional outcomes, and side-effects.
- To evaluate this approach for laryngeal cancer.
Main Methods:
- Review of recent studies on open partial supratracheal laryngectomy.
- Analysis of oncologic and functional outcomes.
- Assessment of side-effects and patient selection criteria.
Main Results:
- Recent studies indicate promising long-term oncologic and functional outcomes for supratracheal partial laryngectomies.
- Outcomes appear comparable to supracricoid partial laryngectomies in selected patients.
- The modern technique for this approach has been recently described.
Conclusions:
- Supratracheal laryngectomy is a valid and effective therapeutic choice for selected patients.
- It is suitable for glottic or transglottic laryngeal cancer with subglottic extension.
- The approach yields positive oncologic and functional results.
