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Tucker's Reconstructive Laryngectomy: Indications and Functional Outcomes
Malika El Omri1, Wassim Kermani1, Souhir Chelly2
1Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, University of Sousse, Sousse, 4000, Tunisia.
Iranian Journal of Otorhinolaryngology
|January 24, 2025
Summary
Tucker's reconstructive surgery, a frontal anterior laryngectomy, offers satisfactory functional and oncological outcomes for early glottic cancer. This partial laryngectomy technique is a valuable option for treating early-stage laryngeal tumors.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Laryngeal Cancer Research
Background:
- Frontal anterior laryngectomy with epiglottic reconstruction, known as Tucker's reconstructive surgery, has been utilized since the 1980s.
- This partial laryngectomy technique is employed for specific laryngeal conditions.
Purpose of the Study:
- To delineate the indications for Tucker's reconstructive surgery.
- To evaluate the functional and oncological outcomes of this surgical approach.
- To compare findings with existing literature.
Main Methods:
- A retrospective study of 65 patients who underwent Tucker's operation between 1988 and 2020.
- Analysis of patient demographics, tumor staging (T1aN0M0, T1bN0M0, T2N0M0), and surgical outcomes.
- Assessment of voice quality, complication rates, and survival data.
Main Results:
- The study included 62 men and 3 women, with a mean age of 62.8 years.
- Tracheal cannula and nasogastric tube removal occurred at mean 18.4 and 14.4 days, respectively.
- Functional outcomes included 11.7% very good and 53.3% good voice quality. Oncological outcomes showed low recurrence rates, with a median survival of 7.5 years.
Conclusions:
- Tucker's reconstructive surgery demonstrated generally satisfactory functional and oncological results.
- The technique is a significant option in the treatment of early glottic carcinoma.
- Findings align with previously reported outcomes in the literature.
