Experience with supracricoid laryngectomy variants.

Abstract

BACKGROUND:

The purpose of this study was to evaluate the outcomes after supracricoid laryngectomy (SCL) as an alternative to total laryngectomy (TL) for treatment of laryngeal cancer.

METHODS:

This retrospective study involved 333 patients who underwent 4 types of SCL for squamous cell carcinoma of the larynx in an Egyptian hospital between May 1984 and May 2007. Both functional outcomes and oncological outcomes were evaluated.

RESULTS:

Surgical margins were free from tumor invasion. The overall 5-year survival rate was 74%. Three hundred nine patients (92.8%) were decannulated, whereas 8 patients had permanent stenosis, 6 patients underwent TL, and 10 patients died. Only 7 patients (2.1%) had persistent aspiration; 6 of these patients underwent TL, whereas 1 patient died of pneumonia. The voice intelligibility score ranged from 70% to 100%, with a mean score of 89%. The score was highest when both arytenoids were preserved (mean, 95%). Ten patients died of complications directly related to the surgery.

CONCLUSION:

Supracricoid laryngectomy is effective for managing laryngeal cancer. Modification of the technique to permit resection of both arytenoids is possible in select patients.

• Authors: Mohamed Rifai, Mohamed Salah Hassouna, Ahmed El Farouk Abdel Fattah, Hatem Badran
• Journal: Head & neck (Head Neck) Vol. 33 Issue 8 Pg. 1177-83 (Aug 2011) ISSN: 1097-0347 [Electronic] United States
• PMID: 21755561 (Publication Type: Comparative Study, Evaluation Study, Journal Article)
• Copyright: Copyright © 2010 Wiley Periodicals, Inc.

Topics

• Adult
• Biopsy, Needle
• Carcinoma, Squamous Cell (mortality, pathology, surgery)
• Cohort Studies
• Cricoid Cartilage (surgery)
• Disease-Free Survival
• Egypt
• Female
• Follow-Up Studies
• Humans
• Immunohistochemistry
• Laryngeal Neoplasms (mortality, pathology, surgery)
• Laryngectomy (methods)
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Neoplasm Staging
• Postoperative Care (methods)
• Postoperative Complications (mortality, physiopathology)
• Retrospective Studies
• Risk Assessment
• Survival Analysis
• Time Factors
• Treatment Outcome
• Voice Quality