Supracricoid partial laryngectomy in the management of T3 laryngeal cancer

Giuseppe Mercante, Alberto Grammatica, Paolo Battaglia, Giovanni Cristalli, Raul Pellini, Giuseppe Spriano

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. To evaluate the oncologic results only in T3 glottic and supraglottic cancers regarding supracricoid partial laryngectomy (SCPL) not requiring total laryngectomy and to assess functional results by self-evaluation by the patient. Study Design. Case series with medical record review. Setting. Single tertiary care center. Subjects and Methods. Thirty-two patients with laryngeal squamous cell carcinoma, previously untreated, who underwent SCPL with cricohyoidopexy or cricohyoidoepiglottopexy were reviewed. Results. At 1, 3, and 5 years, the disease-free survival rates were 96.9%, 89.4%, and 78.2%; overall survival rates were 96.9%, 93.2%, and 87.3%; local control and locoregional control rates were 100%, 96.2%, and 96.2%; and distant metastasis-free survival rates were 100%, 100%, and 88.2%, respectively. Aspiration pneumonia was the most common complication observed. The 3 laryngeal functions (speech, swallowing, and breathing) were spared in 83.9% of patients. Conclusion. Supracricoid partial laryngectomy for selected glottic and supraglottic T3 tumors has excellent oncologic and functional results.

Original languageEnglish
Pages (from-to)714-720
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume149
Issue number5
DOIs
Publication statusPublished - Nov 2013

Keywords

  • glottic cancer
  • laryngeal cancer
  • supracricoid partial laryngectomy
  • supraglottic cancer
  • T3

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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