Functional outcome of supracricoid partial laryngectomy with cricohyoidopexy: radiation failure vs previously untreated cases

Arch Otolaryngol Head Neck Surg. 2006 Nov;132(11):1221-5. doi: 10.1001/archotol.132.11.1221.

Abstract

Objective: To evaluate the postoperative course and functional outcomes achieved in patients treated with supracricoid partial laryngectomy (SPL) with cricohyoidopexy.

Design: Retrospective analysis.

Setting: National Cancer Institute "Regina Elena."

Patients: Eighty-two consecutive patients who underwent SPL with cricohyoidopexy between September 1, 1988, and June 30, 2005, were evaluated. The patient cohort was divided into 2 groups: one affected by untreated laryngeal cancer and the other with laryngeal recurrence after radiotherapy.

Main outcome measures: The postoperative complications and functional outcomes of both patient groups were evaluated and statistically compared.

Results: No statistical differences were found between the functional results of the 2 groups of patients analyzed.

Conclusion: Although a slightly delayed recovery of physiological functions of the larynx could be termed a disadvantage of SCL with cricohyoidopexy after radiotherapy, this operation is a reliable and useful procedure for selected patients with recurrent cancer who would otherwise have been operated on and received a total laryngectomy.

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Squamous Cell / surgery*
  • Cricoid Cartilage / surgery*
  • Deglutition / physiology
  • Female
  • Humans
  • Laryngeal Neoplasms / radiotherapy
  • Laryngeal Neoplasms / surgery*
  • Laryngectomy / methods*
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Phonation / physiology
  • Postoperative Complications
  • Retrospective Studies
  • Salvage Therapy
  • Treatment Outcome