Factors associated with supracricoid laryngectomy functional outcomes

Background Supracricoid partial laryngectomy (SCPL) is an option for laryngeal cancer resection that preserves laryngeal function; however, little information exists regarding factors that are associated with functional outcomes. Methods A medical chart review was performed on patients that underwen...

Full description

Saved in:
Bibliographic Details
Published in:Head & neck 2013-10, Vol.35 (10), p.1397-1403
Main Authors: Clayburgh, Daniel R., Graville, Donna J., Palmer, Andrew D., Schindler, Joshua S.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cohort Studies
Cricoid Cartilage - surgery
Deglutition - physiology
Disease-Free Survival
Female
Follow-Up Studies
Humans
Laryngeal Neoplasms - mortality
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Laryngectomy - rehabilitation
Length of Stay
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
Neoplasm Invasiveness - pathology
Neoplasm Staging
outcomes
Postoperative Care - methods
radiation therapy
Retrospective Studies
Risk Factors
supracricoid partial laryngectomy
Survival Analysis
swallowing
Treatment Outcome
voice
Voice Quality
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Supracricoid partial laryngectomy (SCPL) is an option for laryngeal cancer resection that preserves laryngeal function; however, little information exists regarding factors that are associated with functional outcomes. Methods A medical chart review was performed on patients that underwent SCPL at our institution between 2006 and 2011. Data were collected on surgical, voice, and swallowing outcomes. Results Eighteen patients were identified. Thirteen underwent cricohyoidoepiglottopexy (CHEP) and 5 had a cricohyoidopexy (CHP). Mean follow‐up was 737 days. On average, decannulation occurred at 27.4 days and feeding tube removal at 87.9 days postoperatively. Sixty‐seven percent of patients tolerated an unrestricted diet at follow‐up. Increased age and a CHP procedure were associated with negative outcomes. Age may be a proxy for more extensive disease and prior treatments. Conclusion Patients who undergo an SCPL require extensive rehabilitation after surgery. Those who have undergone multiple cancer interventions and have more extensive surgery may be at risk for poorer outcomes. © 2012 Wiley Periodicals, Inc. Head Neck 35: 1397–1403, 2013
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.23144