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Ann Otol Rhinol Laryngol. 2006 Jun;115(6):419-24.

Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for recurrent laryngeal cancer.

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  • 1Department of Otolaryngology-Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.

Abstract

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.

PMID:
16805372
DOI:
10.1177/000348940611500604
[PubMed - indexed for MEDLINE]
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