Modified Supracricoid Partial Laryngectomy with Cricohyoidopexy: Series Report and Analysis of Results
| Autor: | Leonidas Manolopoulos, George Adamopoulos, J. Yiotakis, Pelagia Stavroulaki |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
Larynx Glottis medicine.medical_specialty Laryngectomy Cricoid Cartilage Tumor excision 03 medical and health sciences 0302 clinical medicine Laryngeal preservation otorhinolaryngologic diseases medicine True Vocal Cord Humans 030223 otorhinolaryngology Laryngeal Neoplasms Survival rate Partial laryngectomy Neoplasm Staging Frozen section procedure business.industry Middle Aged Surgery Posterior segment of eyeball Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Neoplasm Recurrence Local business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 123:288-293 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1067/mhn.2000.104779 |
| Popis: | Aiming to improve voice quality and to facilitate swallowing rehabilitation, we modified the supracricoid partial laryngectomy with cricohyoidopexy by preserving the posterior segment of the true vocal cord on the less involved side of the larynx. Between 1983 and 1994, 13 patients with supraglottic cancer were treated with this modified procedure. The possibility of incomplete tumor excision was eliminated by careful patient selection and intraoperative reconfirmation of tumor extent with frozen sections. Our results have been promising, with a 76.9% 3-year survival rate and a 69.2% laryngeal preservation rate. There were 7 recurrences, 3 local (2 at the superior border of the cricoid and 1 at the cricoarytenoid region) and 4 nodal, in 5 patients. Distant metastases developed in another patient. Three patients, 2 with local and nodal recurrence and 1 with distant metastases, died of disease. Functional outcomes were also good, with all patients achieving normal swallowing by the end of the first year, although 5 patients required temporary gastrostomy for transient swallowing impairment. Early decannulation and satisfactory voice quality were achieved in all cases. We believe that with proper patient selection this modified procedure is effective both for tumor control and for preserving a more functional larynx. |
| Databáze: | OpenAIRE |
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