Long-Term Evaluation After Supracricoid Partial Laryngectomy

Abstract

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.