Supracricoid partial laryngectomy with cricothyroidopexy: A treatment for anterior vocal commissure laryngeal squamous carcinoma

• Published in: Head & neck 2013-03, Vol.35 (3), p.311-315
• Main Authors: Wen, Wei-ping, Su, Zhen-zhong, Zhu, Xiao-lin, Jiang, Ai-yun, Chai, Li-ping, Wang, Zhang-feng, Wen, Yi-hui, Lei, Wen-bin
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Carcinoma, Squamous Cell - mortality; Carcinoma, Squamous Cell - surgery; cricohyoidoepiglottopexy; Cricoid Cartilage - pathology; Cricoid Cartilage - surgery; cricothyroidopexy; Female; Head and Neck Neoplasms - mortality; Head and Neck Neoplasms - surgery; Humans; Laryngeal Neoplasms - mortality; Laryngeal Neoplasms - pathology; Laryngeal Neoplasms - surgery; laryngeal squamous carcinoma involving anterior vocal commissure; Laryngectomy - methods; Male; Middle Aged; Neoplasm Recurrence, Local - pathology; Postoperative Complications; Reconstructive Surgical Procedures - methods; Squamous Cell Carcinoma of Head and Neck; supracricoid partial laryngectomy; Survival Rate; Treatment Outcome; Voice Quality
• ISSN: 1043-3074; 1097-0347
• DOI: 10.1002/hed.22965

Background The clinical efficiency and functional outcomes of supracricoid partial laryngectomy (SCPL) with cricothyroidopexy (CTP) were compared with those of the traditional SCPL with cricohyoidoepiglottopexy (CHEP) in treating laryngeal squamous carcinoma involving anterior vocal commissure (AVC). Methods From January 2000 to June 2009, 50 patients diagnosed with early‐ or intermediate‐stage (T1b–T3 classification) glottic cancer involving AVC were treated with SCPL‐CHEP or SCPL‐CTP. Postoperative complications, local recurrence, survival rate, and speech performance were compared between these 2 surgical procedures. Results Patients undergoing SCPL‐CHEP or SCPL‐CTP manifested similar levels of postoperative complications, tumor recurrence, and survival rates. However, the SCPL‐CTP group showed significantly lower Voice Handicap Index (VHI) scores, higher maximum phonation time, and improved glottic reconstruction and closure than the SCPL‐CHEP group. Conclusion The SCPL‐CTP procedure better preserves postoperative speech performance than the SCPL‐CHEP procedure, underscoring the moderate effectiveness of SCPL‐CTP as a treatment for laryngeal squamous carcinoma involving AVC. © 2012 Wiley Periodicals, Inc. Head Neck, 2013