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Supraglottic laryngectomy: short- and long-term functional results
M Strijbos1, P van den Broek, J J Manni
1Department of Otorhinolaryngology, University Hospital Nijmegen, The Netherlands.
Clinical Otolaryngology and Allied Sciences
|August 1, 1987
Summary
Supraglottic laryngectomy is effective for extensive laryngeal tumors, offering good survival and voice outcomes. However, over half of patients experience occasional aspiration, particularly with liquids.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncology
Background:
- Supraglottic tumors require treatment options that preserve laryngeal function.
- Supraglottic laryngectomy allows for extensive resection while potentially sparing the true vocal cords.
Purpose of the Study:
- To evaluate the long-term survival and functional outcomes of supraglottic laryngectomy.
- To specifically assess postoperative swallowing and aspiration in patients undergoing this procedure.
Main Methods:
- Retrospective analysis of 57 supraglottic laryngectomies performed between 1971 and 1984.
- Assessment of actuarial survival rates at 5 and 10 years.
- Evaluation of functional results, focusing on voice, swallowing, and aspiration.
Main Results:
- 5- and 10-year actuarial survival rates were 80% and 59%, respectively.
- Late deaths were not directly related to the primary tumor.
- Excellent voice function was observed in most patients.
- 56% of patients reported occasional aspiration, especially with liquids.
Conclusions:
- Supraglottic laryngectomy is a viable and effective treatment for extensive supraglottic tumors without true vocal cord involvement.
- The procedure offers good oncological outcomes and excellent voice preservation.
- Swallowing and aspiration require careful postoperative management and monitoring.