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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...
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| Published in: | Head & neck 2013-10, Vol.35 (10), p.1397-1403 |
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| container_issue | 10 |
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| container_title | Head & neck |
| container_volume | 35 |
| creator | Clayburgh, Daniel R. Graville, Donna J. Palmer, Andrew D. Schindler, Joshua S. |
| description | 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 |
| doi_str_mv | 10.1002/hed.23144 |
| format | article |
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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</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.23144</identifier><identifier>PMID: 23037861</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Head & neck, 2013-10, Vol.35 (10), p.1397-1403</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3914-d61f798e6a38a3a2d2db4609618fe6f8b505c895598d795eaebd90865f8963243</citedby><cites>FETCH-LOGICAL-c3914-d61f798e6a38a3a2d2db4609618fe6f8b505c895598d795eaebd90865f8963243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23037861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clayburgh, Daniel R.</creatorcontrib><creatorcontrib>Graville, Donna J.</creatorcontrib><creatorcontrib>Palmer, Andrew D.</creatorcontrib><creatorcontrib>Schindler, Joshua S.</creatorcontrib><title>Factors associated with supracricoid laryngectomy functional outcomes</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>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</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cohort Studies</subject><subject>Cricoid Cartilage - surgery</subject><subject>Deglutition - physiology</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - mortality</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Laryngectomy - methods</subject><subject>Laryngectomy - rehabilitation</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neoplasm Invasiveness - pathology</subject><subject>Neoplasm Staging</subject><subject>outcomes</subject><subject>Postoperative Care - methods</subject><subject>radiation therapy</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>supracricoid partial laryngectomy</subject><subject>Survival Analysis</subject><subject>swallowing</subject><subject>Treatment Outcome</subject><subject>voice</subject><subject>Voice Quality</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp10E9LHDEYBvAgLWpXD36BMtBLexhN8ubvUezuWrAtgiJ4CdlMpkZnNmsyg91v3-i6HoSeEsLvfcj7IHRE8DHBmJ7c-eaYAmFsB-0TrGWNgckPz3cGNWDJ9tCnnO8xxiAY3UV7FDBIJcg-ms6sG2LKlc05umAH31RPYbir8rhK1qXgYmiqzqb18o8vsl9X7bh0Q4hL21VxHFzsfT5AH1vbZX_4ek7Q9Wx6dXZeX_ye_zg7vagdaMLqRpBWauWFBWXB0oY2CyawFkS1XrRqwTF3SnOuVSM199YvGo2V4K3SAiiDCfq6yV2l-Dj6PJg-ZOe7zi59HLMhDBSXAJQX-uUdvY9jKp9-UZISgQucoG8b5VLMOfnWrFLoy7aGYPPcrSndmpdui_38mjgu-vK6ldsyCzjZgKfQ-fX_k8z59Ps2st5MhDz4v28TNj0YIUFyc_Nrbm5nt_PLn_zGAPwDsh-ROg</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Clayburgh, Daniel R.</creator><creator>Graville, Donna J.</creator><creator>Palmer, Andrew D.</creator><creator>Schindler, Joshua S.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Factors associated with supracricoid laryngectomy functional outcomes</title><author>Clayburgh, Daniel R. ; Graville, Donna J. ; Palmer, Andrew D. ; Schindler, Joshua S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3914-d61f798e6a38a3a2d2db4609618fe6f8b505c895598d795eaebd90865f8963243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cohort Studies</topic><topic>Cricoid Cartilage - surgery</topic><topic>Deglutition - physiology</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laryngeal Neoplasms - mortality</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Laryngectomy - methods</topic><topic>Laryngectomy - rehabilitation</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neoplasm Invasiveness - pathology</topic><topic>Neoplasm Staging</topic><topic>outcomes</topic><topic>Postoperative Care - methods</topic><topic>radiation therapy</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>supracricoid partial laryngectomy</topic><topic>Survival Analysis</topic><topic>swallowing</topic><topic>Treatment Outcome</topic><topic>voice</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clayburgh, Daniel R.</creatorcontrib><creatorcontrib>Graville, Donna J.</creatorcontrib><creatorcontrib>Palmer, Andrew D.</creatorcontrib><creatorcontrib>Schindler, Joshua S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clayburgh, Daniel R.</au><au>Graville, Donna J.</au><au>Palmer, Andrew D.</au><au>Schindler, Joshua S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with supracricoid laryngectomy functional outcomes</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2013-10</date><risdate>2013</risdate><volume>35</volume><issue>10</issue><spage>1397</spage><epage>1403</epage><pages>1397-1403</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>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</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23037861</pmid><doi>10.1002/hed.23144</doi><tpages>7</tpages></addata></record> |
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| 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 |
| title | Factors associated with supracricoid laryngectomy functional outcomes |
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