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  • Title: Supracricoid partial laryngectomy in the management of t3 laryngeal cancer.
    Author: Mercante G, Grammatica A, Battaglia P, Cristalli G, Pellini R, Spriano G.
    Journal: Otolaryngol Head Neck Surg; 2013 Nov; 149(5):714-20. PubMed ID: 23921496.
    Abstract:
    OBJECTIVE: To evaluate the oncologic results only in T3 glottic and supraglottic cancers regarding supracricoid partial laryngectomy (SCPL) not requiring total laryngectomy and to assess functional results by self-evaluation by the patient. Study Design Case series with medical record review. SETTING: Single tertiary care center. SUBJECTS AND METHODS: Thirty-two patients with laryngeal squamous cell carcinoma, previously untreated, who underwent SCPL with cricohyoidopexy or cricohyoidoepiglottopexy were reviewed. RESULTS: At 1, 3, and 5 years, the disease-free survival rates were 96.9%, 89.4%, and 78.2%; overall survival rates were 96.9%, 93.2%, and 87.3%; local control and locoregional control rates were 100%, 96.2%, and 96.2%; and distant metastasis-free survival rates were 100%, 100%, and 88.2%, respectively. Aspiration pneumonia was the most common complication observed. The 3 laryngeal functions (speech, swallowing, and breathing) were spared in 83.9% of patients. CONCLUSION: Supracricoid partial laryngectomy for selected glottic and supraglottic T3 tumors has excellent oncologic and functional results.
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