Supracricoid Partial Laryngectomy with Cricohyoidoepiglottopexy for Recurrent Laryngeal Cancer

Objectives: Recurrent laryngeal cancer can be treated either with total laryngectomy or in selected cases with supracricoid laryngectomy with cricohyoidoepiglottopexy (CHEP). We performed a retrospective study to analyze the functional and oncological results of supracricoid laryngectomy with CHEP....

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Bibliographic Details
Published in:Annals of otology, rhinology & laryngology rhinology & laryngology, 2006-06, Vol.115 (6), p.419-424
Main Authors: Sewnaik, Aniel, Hakkesteegt, Marieke M., Meeuwis, Cees A., de Gier, Henriëtte H. W., Kerrebijn, Jeroen D. F.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma - pathology
Carcinoma - surgery
Cricoid Cartilage - surgery
Epiglottis - surgery
Female
Follow-Up Studies
Humans
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Otorhinolaryngology. Stomatology
Retrospective Studies
Treatment Outcome
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Objectives: Recurrent laryngeal cancer can be treated either with total laryngectomy or in selected cases with supracricoid laryngectomy with cricohyoidoepiglottopexy (CHEP). We performed a retrospective study to analyze the functional and oncological results of supracricoid laryngectomy with CHEP. Methods: Fourteen patients were treated with supracricoid laryngectomy with CHEP. In 8 patients, flexible endoscopic evaluation of swallowing was performed. Preoperative and postoperative voice evaluation was performed in 5 patients. Oncological and functional follow-up, postoperative complications, and data concerning rehabilitation were recorded on standard forms. Results: After the supracricoid laryngectomy with CHEP, 11 of the 14 patients were alive and disease-free. No local recurrences were found, but 2 patients had regional recurrences. The voice was worse after the operation; however, most patients were satisfied. Swallowing was uncompromised. Conclusions: Supracricoid laryngectomy with CHEP for recurrent glottic laryngeal cancer after radiotherapy appears to be oncologically safe and functional.
ISSN:0003-4894
1943-572X
DOI:10.1177/000348940611500604