upracricoid partial laryngectomy (SCPL) is an effective conservation surgery which could be performed in cases of advanced laryngeal malignancy. In this procedure, there are two different reconstruction Long-Term Evaluation After Supracricoid Partial Laryngectomy A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Supracricoid partial laryngectomy is one of the partial laryngectomy procedures designed to maintain adequate functionality. We intend to determine the effects of voice, respiration functions that effect life quality in the long term, and how much they differ based on the chosen surgical procedure after supracricoid partial laryngectomy. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : We assessed 26 patients with supracricoid partial laryngectomy (SCPL) with cricohyoidopexy, 9 patients with SCPL cricohyoidoepiglottopexy and 10 healthy individuals within our research. All of the patients were evaluated with acoustic and perceptual voice analysis, aspiration, dysphagia, voice handicap index, laryngostroboscopy one year after supracricoid partial laryngectomy with cricohyoidopexy or cricohyoidoepiglottopexy. R Re es su ul lt ts s: : Thirty-five patients (34 male, 1 female) were included in the study group to determine the postoperative, long term functional effects of SCPL. We found that, even though patients suffered from disabilities related with voice, findings in fuctional results in supracricoid partial laryngectomy patients were favorable. C Co on nc cl lu us si io on n: : As a conclusion, SCPL could be performed in chosen cases of advanced laryngeal malignancies as an alternative surgical method, preserving swallowing, speaking and swallowing functions, providing acceptable functional results as expressed by patients. When SCPL patients were evaluated postoperatively in the long-term, using acoustic voice analysis, laryngostroboscopic examination and voice handicap index, even though they suffered from voice weaknesses, functional results were generally found to be acceptable.

Objective: To evaluate functional and oncological results of patients who were treated with frontal anterior laryngectomy with epiglottic reconstruction (Tucker's operation). Material and Methods:From September 1985 to November 2009, 58 patients whose early glottic carcinomas were operated on with Tucker's operation. The time of decannulation, nasogastric tube removal, hospitalization and oncological results were analyzed. Acoustic analysis and Voice Handicap Index (VHI) were used to evaluate vocal function.Results: The mean time for decannulation and nasogastric tube removal were 11.8±7.6 and 15.4±4.4 days, respectively. The mean duration of hospital stay was 19.3±6.1 days. It was found that early decannulation significantly reduced patient decannulation and hospitalization time. The 5-year overall and cause-specific actuarial survival rates were 81.5% and 96.9%, respectively. The 10-year overall and cause-specific survival rates were 67% and 92.3%, respectively. The 5-year local and nodal control rates were 95.4% and 95.2%, respectively. The mean values for jitter, shimmer and noise-to-harmonic ratio were 8.10±5.59%, 16.60±5.81% and 0.51±0.23, respectively, and these scores showed a significant increase. Total VHI score and subscale scores except VHI-emotional noted that patients had a mild level of vocal disability. Conclusion:Tucker's operation is one of the preferred techniques in the treatment of early glottic carcinoma with its high oncologic success rate and satisfactory functional results.