Laryngeal function preservation following supracricoid partial laryngectomy. 2012

Alejandro Castro, and Isabel Sanchez-Cuadrado, and Ricardo Bernaldez, and Antonio Del Palacio, and Javier Gavilan
Department of Otolaryngology, La Paz University Hospital, Madrid, Spain. alejandrocastro@teleline.es

BACKGROUND Supracricoid partial laryngectomy is a surgical technique that preserves laryngeal function. METHODS A retrospective review of clinical records identified 41 patients that underwent supracricoid partial laryngectomy at our institution since 1998. In all, 26 patients with a minimum follow-up of 3 months were alive with a functioning larynx. All of them accepted participation in a functional evaluation. RESULTS Ninety-seven percent of the patients were decannulated, and every patient achieved oral intake. The 5-year actuarial laryngoesophageal dysfunction-free survival was 66.5%. Median Voice Handicap Index (VHI) score was 26, with 75% of patients scoring <40. The Median MD Anderson Dysphagia Inventory (MDADI) score was 92, with 75% of patients scoring ≥80. Median maximum phonation time (MPT) was 12 seconds. Median maximum intensity (Imax) was 99 dB. CONCLUSIONS Supracricoid partial laryngectomy allows laryngeal function preservation at a rate similar to that of chemoradiation protocols. When a careful preoperative patient selection is performed, long-term functional results are outstanding. © 2011 Wiley Periodicals, Inc. Head Neck, 2012.

UI MeSH Term Description Entries
D007822 Laryngeal Neoplasms Cancers or tumors of the LARYNX or any of its parts: the GLOTTIS; EPIGLOTTIS; LARYNGEAL CARTILAGES; LARYNGEAL MUSCLES; and VOCAL CORDS. Cancer of Larynx,Laryngeal Cancer,Larynx Neoplasms,Cancer of the Larynx,Larynx Cancer,Neoplasms, Laryngeal,Cancer, Laryngeal,Cancer, Larynx,Cancers, Laryngeal,Cancers, Larynx,Laryngeal Cancers,Laryngeal Neoplasm,Larynx Cancers,Larynx Neoplasm,Neoplasm, Laryngeal,Neoplasm, Larynx,Neoplasms, Larynx
D007825 Laryngectomy Total or partial excision of the larynx. Laryngectomies
D007830 Larynx A tubular organ of VOICE production. It is located in the anterior neck, superior to the TRACHEA and inferior to the tongue and HYOID BONE. Anterior Commissure, Laryngeal,Anterior Commissure, Larynx,Laryngeal Anterior Commissure,Laryngeal Posterior Commissure,Posterior Commissure, Laryngeal,Posterior Commissure, Larynx,Anterior Commissures, Laryngeal,Anterior Commissures, Larynx,Commissure, Laryngeal Anterior,Commissure, Laryngeal Posterior,Commissure, Larynx Anterior,Commissure, Larynx Posterior,Commissures, Laryngeal Anterior,Commissures, Laryngeal Posterior,Commissures, Larynx Anterior,Commissures, Larynx Posterior,Laryngeal Anterior Commissures,Laryngeal Posterior Commissures,Larynx Anterior Commissure,Larynx Anterior Commissures,Larynx Posterior Commissure,Larynx Posterior Commissures,Posterior Commissures, Laryngeal,Posterior Commissures, Larynx
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010699 Phonation The process of producing vocal sounds by means of VOCAL CORDS vibrating in an expiratory blast of air. Phonations
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D003413 Cricoid Cartilage The small thick cartilage that forms the lower and posterior parts of the laryngeal wall. Cartilage, Cricoid,Cartilages, Cricoid,Cricoid Cartilages
D003679 Deglutition The act of taking solids and liquids into the GASTROINTESTINAL TRACT through the mouth and throat. Swallowing,Deglutitions,Swallowings
D005260 Female Females

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