Supracricoid laryngectomies: Long-term oncological and functional results

Laudadio, P; Presutti, Livio; Dall’Olio, Danilo; Cunsolo, Elio Maria; Consalici, R; Amorosa, Luca; Cancellieri, Alessandra; Bocciolini, Corso

doi:10.1080/00016480500469024

Cited by 50 publications

(53 citation statements)

References 22 publications

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“…Its results have been satisfactory either for the preservation of the organ as for the functional benefits (1,2,3,4,5,6,7) . However, despite such reports, the subjects' vocal self-assessment and the analysis related to the vocal handicap did not reveal differences between both groups.…”

Section: Discussionmentioning

confidence: 99%

“…Supracricoid partial laryngectomy (SCPL) has been pointed out as advantageous when compared to total laryngectomy (TL), especially considering that it aims to preserve part of the organ (1,2,3,4,5,6,7) . Survival rates of SCPL are similar to the TL ones (6,8) , although it may benefit the patient by not using permanent tracheostomy.…”

Section: Introductionmentioning

confidence: 99%

“…Survival rates of SCPL are similar to the TL ones (6,8) , although it may benefit the patient by not using permanent tracheostomy. The vocal quality after SCPL is characterized as hoarse and breathy (2) , however intelligible, allowing the patient to keep an effective voice for his communication (1) and has low impact on social activities, contributing for a better quality of life (1,3,4,5,9,10) . The TL, however, is still one of the main procedures in the treatment of laryngeal cancer and the patient needs to learn a new way of verbal communication and deal with breathing and swallowing changes, which will certainly interfere in his life (11) .…”

Section: Introductionmentioning

confidence: 99%

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Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Oliveira

Marialva

2017

Audiol., Commun. Res.

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Introduction:The laryngeal cancer treatment causes significant changes in the quality of life. Purpose: To assess and compare the vocal handicap and the coping strategies to deal with the vocal handicap resulting from supracricoid and total laryngectomy. Methods: Analytical, prospective observational study of groups of subjects with the same disease. Seventeen subjects were assessed and divided in two groups; the first with eight male subjects submitted to supracricoid partial laryngectomy, with cricohyoidoepiglottopexy, mean age of 67,5; and a second group with nine subjects, two women and seven men, submitted to total laryngectomy, mean age of 64,3. All subjects answered the Vocal Handicap Index-10 (VHI-10) and the Coping Strategies in Dysphonia Protocol (PEED-27). Results: The mean values of raw scores obtained with the VHI-10 by the two groups did not reveal significant differences, matching studies involving dysphonic patients. Both groups use an elevated number of coping strategies for vocal problems: the first group presented mean raw scores of 65,75 and the second group, 59,22. Conclusion:The comparison between subjects submitted to supracricoid laryngectomy and total laryngectomy does not evidence differences concerning the self-assessment of voice, vocal handicap and coping strategies to deal with vocal problems. Both groups use more than the double of coping strategies for vocal problems, with a predominant focus on emotion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Oliveira

Marialva

2017

Audiol., Commun. Res.

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“…In addition to CLL, our patient had stage 2 glottic cancer. In such cases, horizontal glottectomy and supracricoid subtotal laryngectomy with neck dissection are possible surgical options (18,19). Alternatively, radiotherapy may be applied.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Carcinoma with Chronic Lymphocyter Leukemia

et al. 2014

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“…Several literature reports show local control, low recurrence rate 5,[7][8][9][10] and survival rates similar to TL [1][2][3] , besides allowing the nonuse of permanent tracheostomy, which enables the oral feeding, voice preservation and social functions, providing a better quality of life 5,6,[11][12][13][14] . Thus, the SPL justifies itself as an alternative of great value once it allows the maintenance of voice without the use of any device and without training 15 .…”

Section: Introductionmentioning

confidence: 99%

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

Oliveira

Marialva

2016

Rev. CEFAC

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Supracricoid Partial Laryngectomy (SCPL) is indicated for treatment of tumors staging 1 and 2, and some cases of advanced tumors. It is considered by literature as presenting satisfactory results for both, preservation of larynx and its functionality. This study aimed a systematic review of literature on voice related quality of life in patients submitted to SCPL, identifying protocols of quality of life regarding head and neck cancer. The following database was consulted for the systematic exploratory literature review: MEDLINE, SCIELO, LILACS; PUBMED. Portuguese, English and Spanish-language descriptors (DeCS) were used. The selection of articles followed inclusion criteria for Relevance Test appliance. This literature review revealed that the protocols used specifically with oncologic patients of head and neck, were mainly EORTC-C30/H&N35, UW-QOL and HNQOL. The SCPL even though to be considered a surgery that allows the preservation of swallowing and phonation functions is pointed as having the possibility of remaining complaints in such functions. Literature affirms that patients were satisfied with their own voice, having little difficulty in order to communicating in a intelligible way. Studies report patients with breathing difficulties after SCPL, including obstructive sleep apnea. It was concluded further researches aiming at pointing the difficulties resultant from SCPL and using more specific head and neck protocols are necessary, which may better reveal the impact of SCPL on quality of life. Keywords: Voice; Dysphonia; Head and Neck Neoplasms; Laryngectomy; Quality of Life RESUMO A Laringectomia Parcial Supracricóide (LPSC) é indicada para tratamento de tumores com estadiamento1 e 2 e certos casos de tumores avançados. É considerada pela literatura como apresentando resultados satisfatórios em ambas situações, preservação da laringe e funcionalidade. Este estudo tem como objetivo rever de forma sistemática a literatura voltada para qualidade de vida em voz de pacientes submetidos a LPSC, identificando-se os protocolos de qualidade de vida em câncer de cabeça e pescoço. Para a revisão de literatura sistemática exploratória foram considerados os seguintes bancos de dados: MEDLINE, SciELO, LILACS; PubMed. Utilizados descritores em português, inglês e espanhol. A seleção dos artigos seguiu critérios de inclusão, para aplicação de teste de Relevância. Esta revisão de literatura revelou que os protocolos específicos para pacientes oncológicos de cabeça e pescoço mais utilizados são o EORTC-C30/H&N35, UW-QOL e HNQOL. A LPSC embora seja considerada uma cirurgia que vise à preservação das funções de deglutição e fonação é apontada como tendo possibilidade de permanência de queixas em tais funções. A literatura afirma que os pacientes se declaram satisfeitos com a própria voz, tendo pouca dificuldade para se comunicar de forma inteligível. Estudos relacionam pacientes com dificuldades respiratórias após LPSC, inclusive com apneia obstrutiva do sono. Conclui-se que ha necessidade de mais pesquisas que v...

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Supracricoid laryngectomies: Long-term oncological and functional results

Abstract: Oncological results: the 5-year actuarial disease-free survival was 85%; the 5-year determinate actuarial survival was 88.3%. Functional results: organ preservation rate was 97%. Phonation was assessed according to the GRBAS scale.

Cited by 50 publications

References 22 publications

Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Laryngeal Carcinoma with Chronic Lymphocyter Leukemia

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

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