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Supracricoid partial laryngectomies: oncologic and functional results
M de Vincentiis1, A Minni, A Gallo
1IV ENT Clinic, University La Sapienza, Rome, Italy.
Head & Neck
|August 14, 1998
Summary
Supracricoid partial laryngectomies (SPL) offer excellent oncologic and functional outcomes. Cricohyoidoepiglottopexy (CHEP) is a viable alternative to partial laryngeal surgery, while cricohyoidopexy (CHP) serves as an alternative to total laryngectomy for specific laryngeal tumors.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Laryngeal Cancer Treatment
Background:
- This study evaluates the oncologic and functional results of supracricoid partial laryngectomies (SPL).
- The research encompasses 149 patients who underwent SPL between January 1984 and December 1995.
Purpose of the Study:
- To assess the effectiveness of cricohyoidopexy (CHP) and cricohyoidoepiglottopexy (CHEP) in treating laryngeal tumors.
- To compare the oncologic and functional outcomes of different SPL techniques.
Main Methods:
- The study involved 149 patients, with 98 undergoing CHP and 51 undergoing CHEP.
- Patients were divided into two groups based on follow-up duration (minimum 3 years vs. less than 3 years).
- Statistical analysis for the second group utilized the Kaplan-Meier actuarial method.
Main Results:
- Survival rates were high in both groups (94% and 95%).
- Recurrence rates were low (6.71%), with 6 recurrences after CHP and 1 after CHEP.
- High rates of decannulation (85.7% for CHP, 98% for CHEP) and good functional recovery for swallowing and speech were observed.
Conclusions:
- Cricohyoidoepiglottopexy (CHEP) is a valid alternative for partial laryngeal surgery when indications are strictly followed.
- Cricohyoidopexy (CHP) is a feasible alternative to total laryngectomy for glottic and supraglottic tumors.