Supracricoid Partial Laryngectomy: Oncological and Functional Outcomes

Area of Science:

• Otolaryngology
• Surgical Oncology

Background:

• Supracricoid partial laryngectomy (SCPL) is a reconstructive surgical technique for laryngeal cancer.
• Evaluating oncological safety and functional outcomes is crucial for patient quality of life.

Purpose of the Study:

• To analyze the oncological and functional results of SCPL in 35 patients.
• To assess complications, survival rates, and quality of life after SCPL.
• To demonstrate the oncological safety and reproducibility of reconstructive laryngectomy.

Main Methods:

• A cohort of 35 patients with primary or recurrent laryngeal squamous cell carcinomas underwent SCPL between 2010 and 2018.
• Patients were divided into two subgroups based on surgical technique: cricohyoidoepiglottopexy (Mayer-Piquet) and cricohyoidopexy (Labayle).
• Oncological results, laryngeal function, and quality of life were evaluated.

Main Results:

• Overall survival was 83% and disease-free survival was 76.3%.
• All patients achieved successful swallowing, with nasogastric tube removal at a mean of 21.8 days.
• Mean decannulation time was 23.4 days post-surgery.

Conclusions:

• SCPL provides oncological safety comparable to total laryngectomies for intermediate and selected advanced laryngeal cancers.
• The procedure ensures oncological reproducibility while preserving laryngeal functions.
• SCPL significantly improves patients' quality of life, communication, and interpersonal relationships.