Oncological Outcomes of Primary vs. Salvage OPHL Type II: A Systematic Review

Saraniti, Carmelo; Verro, Barbara; Ciodaro, Francesco; Galletti, Francesco

doi:10.3390/ijerph19031837

Cited by 3 publications

(1 citation statement)

References 48 publications

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“…As recommended in 2018 by the American Society of Clinical Oncology (ASCO), the best treatment for limited-stage (T1-T2) laryngeal cancer should have three goals: curing the cancer, preserving organ functions, and ensuring satisfactory quality of life [18]. The ASCO also stated that this optimal treatment can be achieved through a full and multidisciplinary evaluation of patients in terms of cancer staging and tumor characteristics (tumor size, localregional extension), health and socioeconomic, psychosocial state and choice of patient and logistic issue [8,[18][19][20]. Moreover, the treatment choice depends on surgeon expertise and availability of rehabilitative experts.…”

Section: Discussionmentioning

confidence: 99%

Swallowing Outcomes in Open Partial Horizontal Laryngectomy Type I and Endoscopic Supraglottic Laryngectomy: A Comparative Study

Saraniti

Ciodaro

Galletti

et al. 2022

IJERPH

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Background: Effective swallowing represents the main challenge in supraglottic laryngectomy. This study aimed to assess swallowing outcome comparing endoscopic supraglottic laryngectomy (ESL) and open partial horizontal laryngectomy type I (OPHL I). Methods: A retrospective study was carried out on 20 patients that underwent supraglottic laryngectomy from 2015 to 2021: 10 underwent ESL (group A) and 10 underwent OPHL I (Group B). Patients underwent fiberoptic endoscopic evaluation of swallowing (FEES) 3 months and 12 months after surgery and videofluoroscopy swallowing studies (VFSS) 12 months after surgery. A Swallowing Outcome After Laryngectomy (SOAL) questionnaire was administered to patients to assess their life quality. Results: A naso-gastric tube was placed in two patients of Group A and in all patients of Group B. Tracheostomy was performed in two patients of Group A and in all patients in Group B and it has been closed in 100% of them. According to Donzelli’s scale, FEES and VFSS showed better results in Group A at 3 months, while at 12 months they did not show statistically significant differences between ESL and OPHL I in terms of laryngeal penetration and aspiration. The SOAL questionnaire showed satisfactory life quality. Conclusion: Swallowing evaluation by FEES and VFSS did not demonstrate statistically significant differences at 12 months post-op between two surgeries, although ESL showed less cases of laryngeal penetration and aspiration at 3 months post-op. Anyway, good results of any surgery depend on careful patient selection and the surgeon’s experience.

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Section: Discussionmentioning

confidence: 99%

Swallowing Outcomes in Open Partial Horizontal Laryngectomy Type I and Endoscopic Supraglottic Laryngectomy: A Comparative Study

Saraniti

Ciodaro

Galletti

et al. 2022

IJERPH

Self Cite

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Rehabilitation after supracricoid partial laryngectomy: cohort study

da Silva Seidler,

Yumi Nakai,

Ribeiro Tenório

et al. 2025

Brazilian Journal of Otorhinolaryngology

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Multicentric Study on Oncological Outcomes and Prognostic Factors of Open Partial Horizontal Laryngectomies

Allegra,

Bianco,

Modica

et al. 2024

Ear Nose Throat J

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Objective: In recent years, the number of open preservation surgeries for the treatment of laryngeal Cancer has increased. This surgery aims to maintain laryngeal function and ensure oncological radicality, thereby avoiding a total laryngectomy (TL) that could significantly impact the patient’s quality of life. The purpose of this study was to assess the oncologic results of OPHL I and II and to identify prognostic factors that could impact patient survival and local failure rates. Methods: This study was conducted on 182 patients with laryngeal squamous cell carcinoma treated with OPHLs between 2005 and 2015. The survival rates of a group of patients treated with TL between 2004 and 2014 were taken into consideration to compare survival outcomes. Results: The disease-specific survival in pT2 and pT3 tumors in relation to the type of surgery showed no statistically significant difference between OPHLs and TL ( P = .54 and P = .63, respectively). The 5-year T-recurrence-free survival showed that pT4 tumors, perineural/vascular positive invasion, and OPHL IIb + ARY-treated tumors were associated with a higher risk of tumor recurrence ( P < .0001, P = .0005 and P = .016 respectively). Conclusions: OPHLs represent an excellent alternative to TL considering the characteristics of the tumor and the general conditions of the patient.

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Oncological Outcomes of Primary vs. Salvage OPHL Type II: A Systematic Review

Cited by 3 publications

References 48 publications

Swallowing Outcomes in Open Partial Horizontal Laryngectomy Type I and Endoscopic Supraglottic Laryngectomy: A Comparative Study

Swallowing Outcomes in Open Partial Horizontal Laryngectomy Type I and Endoscopic Supraglottic Laryngectomy: A Comparative Study

Rehabilitation after supracricoid partial laryngectomy: cohort study

Multicentric Study on Oncological Outcomes and Prognostic Factors of Open Partial Horizontal Laryngectomies

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