Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T04:30:28.114Z Has data issue: false hasContentIssue false
  • English
  • Français

Supracricoid partial laryngectomy: an alternative to total laryngectomy for locally advanced laryngeal cancers

Published online by Cambridge University Press:  06 June 2008

E Soudry ,
Y Marmor ,
A Hazan ,
S Marx ,
R Sadov  and
R Feinmesser
E Soudry
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
Y Marmor
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel
A Hazan
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel
S Marx
Affiliation:
Department of Speech, Voice and Swallowing Clinic, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel
R Sadov
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
R Feinmesser*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Israel
*
Address for correspondence: Dr Raphael Feinmesser, Department of Otorhinolaryngology and Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, 49100, Israel. Fax: 972 3 9376467 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

The management of advanced laryngeal cancer has evolved in the last century, from total laryngectomy to chemoradiation. The aim of this study was to examine our experience with supracricoid partial laryngectomy as a possible solution for patients with advanced laryngeal tumours, with a focus on the oncological safety of the procedure and the functionality of the preserved larynges.

Study design:

We reviewed the medical records of patients with laryngeal cancer who had undergone primary or salvage supracricoid partial laryngectomy at our department between 1998 and 2004.

Results:

Twenty-three patients treated with supracricoid partial laryngectomy for endolaryngeal squamous cell carcinoma were identified. Median follow-up time was 35 months. Twelve patients had advanced laryngeal tumours. Eight patients were radiation failures. These factors were not associated with increased local recurrence or with decreased survival.

Conclusion:

Supracricoid partial laryngectomy appears to be a feasible option for the treatment of laryngeal tumours, even in the advanced stage or after failure of radiation therapy.

Keywords

Larynx NeoplasmsLaryngectomyRadiotherapySupraglottis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 11 , November 2008 , pp. 1219 - 1223
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 The Department of Veterans Affairs Laryngeal Cancer Study Group. Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. N Engl J Med 1991;324:1685–9CrossRefGoogle Scholar
2 Forastiere, AA, Goepfert, H, Maor, M, Pajak, TF, Weber, R, Morrison, W et al. Concurrent chemotherapy and radiotherapy for organ preservation in advanced laryngeal cancer. N Engl J Med 2003;349:2091–8CrossRefGoogle ScholarPubMed
3 Brasnu, D. Supracricoid partial laryngectomy with cricohyoidopexy in the management of laryngeal carcinoma. World J Surg 2003;27:817–23CrossRefGoogle ScholarPubMed
4 Laccourreye, O, Brasnu, D, Bicabe, B, Hans, S, Seckin, S, Weinstein, G. Neo-adjuvant chemotherapy and supracricoid partial laryngectomy with cricohyoidopexy for advanced endolaryngeal carcinoma classified as T3-T4: 5-year oncologic results. Head Neck 1998;20:595–93.0.CO;2-K>CrossRefGoogle ScholarPubMed
5 Dufour, X, Hans, S, De Mobes, E, Brasnu, D, Menard, M, Laccourreye, O. Local control after supracricoid partial laryngectomy for “advanced” endolaryngeal squamous cell carcinoma classified as T3. Arch Otolaryngol Head Neck Surg 2004;130:1092–9CrossRefGoogle ScholarPubMed
6 Herranz-Gonzalez, J, Gavilan, J, Martinez-Vidal, J, Gavilan, C. Supraglottic laryngectomy functional and oncological results. Ann Otol Rhinol 1996:105:18–22CrossRefGoogle Scholar
7 Adamopoulos, G, Yotakis, I, Apostolopoulos, K, Manolopoulos, L, Kandiloros, D, Ferekidis, E. Supraglottic laryngectomy – series report and analysis of results. J Laryngol Otol 1997;11:730–4CrossRefGoogle Scholar
8 Biller, HF, Ogura, JH, Pratt, LL. Hemilaryngectomy following radiation failure for carcinoma of the vocal cords. Laryngoscope 1970;80:249–53CrossRefGoogle ScholarPubMed
9 Nichols, RD, Stine, PH, Greenwald, KJ. Partial laryngectomy after radiation failure. Laryngoscope 1980;90:571–5CrossRefGoogle ScholarPubMed
10 Burns, H, Bryce, DP, van Nostrand, AW. Conservational surgery in laryngeal cancer and its role following failed radiotherapy. A histopathological and clinical study of 32 cases. Arch Otolaryngol 1979;105:234–9CrossRefGoogle ScholarPubMed
11 Spriano, G, Pellini, R, Romano, G, Muscatello, L, Roselli, R. Supracricoid partial laryngectomy as salvage surgery after radiation failure. Head Neck 2002;24:759–65CrossRefGoogle ScholarPubMed
12 Laccourreye, O, Weinstein, G, Naudo, P, Cauchois, R, Laccourreye, H, Brasnu, D. Supracricoid partial laryngectomy after failed laryngeal radiation therapy. Laryngoscope 1996;106:495–8CrossRefGoogle ScholarPubMed
13 Laccourreye, O, Ross, J, Brasnu, D, Chabardes, E, Kelly, JH, Laccourreye, H. Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy. Acta Otolaryngol 1994;114:669–74CrossRefGoogle ScholarPubMed
14 Smith, JC, Myers, EN. Progress in laryngeal surgery. Head Neck 2002:24:955–64CrossRefGoogle ScholarPubMed
15 Sparano, A, Chernock, R, Feldman, M, Laccourreye, O, Brasnu, D, Weinstein, G. Extending the inferior limits of supracricoid partial laryngectomy: a clinicopathological correlation. Laryngoscope 2005;115:297–300CrossRefGoogle ScholarPubMed
16 Naudo, P, Laccourreye, O, Weinstein, G, Hans, S, Laccourreye, H, Brasnu, D. Functional outcome and prognosis factors after supracricoid partial laryngectomy with cricohyoidopexy. Ann Otol Rhinol Laryngol 1997;106:291–6CrossRefGoogle ScholarPubMed
17 Shiotani, A, Araki, K, More, K, Idede, A, Okubo, K, Saito, K et al. CHEP with the total removal of the arytenoids on the tumor-bearing side [in Japanese]. Nippon Jibiinkoka Gakkai Kaiho 2003;106:1100–3CrossRefGoogle ScholarPubMed