Modified subtotal laryngectomy with cricohyoidoepiglottopexy?long term results in 81 patients

Supracricoid partial laryngectomy with crico-hyoido-epiglottopexy for glottic carcinoma with anterior commissure involvement

“…In our series, we did not observe any local recurrence in patients with T1a tumours involving the anterior commissure. On the other hand, one patient with a T1b tumour presented local recurrence, for a local failure rate of 4.5%, which is slightly lower than that reported in the literature 6 . For T2 tumours, the local failure rate of radiotherapy is between 25% and 30% and the local control rate reaches 90% after non-conservative salvage surgery 9 10 .…”

“…It has a common point with the SCPL according to the Guerrier technique, of preserving the posterior part of the thyroid cartilage and not to dissect the pyriform sinus mucosa. These two techniques differ by the reconstruction procedure; the first uses the epiglottis to reconstruct the anterior part of the resected thyroid cartilage, and the second performs a CHEP for anterior laryngeal reconstruction 6 . Local control rates for T1 and T2 carcinoma of the vocal folds treated by the Tucker technique and SCPL are equivalent.…”

“…Tumours were classified according to the TNM classification of glottic carcinomas (UICC 2002). All patients were treated by SCPL-CHEP according to Majer and Piquet 3 4 technique or Guerrier technique 6 . All patients underwent tracheostomy during surgery.…”

Supracricoid laryngectomies: Long-term oncological and functional results

“…These results suggest that a more aggressive treatment of the laterocervical lymph nodes, with postoperative radiotherapy for N'/, would be advisable. (3) Our experience, supported by a review of the literature, shows that SL are a reliable alternative to vertical partial laryngectomies or radiotherapy for glottic or glottic-supraglottic T1 and T2 tumours [3,15,21,24,25,29]; even selected T3 and T4 cases can be treated with the same oncological results as total laryngectomy [18,22 Á24,26,29]. They also can be considered a useful option for the surgical salvage of radiation failures.…”

Laryngostroboscopic Evaluation After Supracricoid Partial Laryngectomy

“…SCPL has the advantage of offering a high oncologic control rate (O80%) with the laryngeal function maintained in 95% of cases. 1,2 The voice is always modified after SCPL surgery, and the extent of dysphonia can vary markedly between patients. 3 It is currently hard to determine correlations between voice proficiency and the anatomic conformation and virtually impossible to predict how a patient's voice will perform after undergoing SCPL.…”