Cricohyoidopexy in Selected Infrahyoid Epiglottic Carcinomas Presenting With Pathological Preepiglottic Space Invasion
| Autor: | Ollivier Laccourreye, E. Chabardes, Régis Cauchois, Henri Laccourreye, Agnes Merite-Drancy, Daniel Brasnu, Madeleine Ménard |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Epiglottis medicine.medical_specialty medicine.medical_treatment Laryngectomy Cricoid Cartilage Swallowing Preoperative Care medicine Humans Preoperative chemotherapy Life Tables Neoplasm Invasiveness Laryngeal Neoplasms Pathological Lymph node Neoplasm Staging Retrospective Studies Postoperative Care Chi-Square Distribution business.industry Hyoid Bone General Medicine Second primary cancer Middle Aged Surgery Dissection medicine.anatomical_structure Otorhinolaryngology Carcinoma Squamous Cell France Neoplasm Recurrence Local business |
| Zdroj: | Archives of Otolaryngology - Head and Neck Surgery. 119:881-886 |
| ISSN: | 0886-4470 |
| DOI: | 10.1001/archotol.1993.01880200087012 |
| Popis: | • Nineteen patients who presented with infrahyoid epiglottic squamous cell carcinoma with gross pathological preepiglottic space invasion, not amenable to a partial horizontal supraglottic laryngectomy, were offered a supracricoid partial laryngectomy with a cricohyoidopexy technique; this was an attempt to preserve physiological phonation, respiration, and deglutition while achieving the same local control rate as with a total laryngectomy. Preoperative chemotherapy and bilateral jugulocarotid lymph node dissection were performed in all cases. Patients were monitored for at least 5 years or until death. No patients were unavailable for follow-up. The 5-year actuarial survival (Kaplan-Meier method) was 84.2%. Local recurrence, nodal recurrence, and distant metastasis occurred once in our series, while six patients presented with a second primary tumor. We present, analyze, and compare functional results with those of the previously reported series. Our experience with the supracricoid partial laryngectomy with a cricohyoidopexy, in the face of selected infrahyoid epiglottic squamous cell carcinoma invading the preepiglottic space, not amenable to a partial horizontal supraglottic laryngectomy, suggested that a total laryngectomy might be avoided without decreasing the cure rate. ( Arch Otolaryngol Head Neck Surg. 1993;119:881-886) |
| Databáze: | OpenAIRE |
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