Factors associated with supracricoid laryngectomy functional outcomes

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Background: Supracricoid partial laryngectomy (SCPL) is an option for laryngeal cancer resection that preserves laryngeal function; however, little information exists regarding factors that are associated with functional outcomes. Methods: A medical chart review was performed on patients that underwent SCPL at our institution between 2006 and 2011. Data were collected on surgical, voice, and swallowing outcomes. Results: Eighteen patients were identified. Thirteen underwent cricohyoidoepiglottopexy (CHEP) and 5 had a cricohyoidopexy (CHP). Mean follow-up was 737 days. On average, decannulation occurred at 27.4 days and feeding tube removal at 87.9 days postoperatively. Sixty-seven percent of patients tolerated an unrestricted diet at follow-up. Increased age and a CHP procedure were associated with negative outcomes. Age may be a proxy for more extensive disease and prior treatments. Conclusion: Patients who undergo an SCPL require extensive rehabilitation after surgery. Those who have undergone multiple cancer interventions and have more extensive surgery may be at risk for poorer outcomes.

Original languageEnglish (US)
Pages (from-to)1397-1403
Number of pages7
JournalHead and Neck
Volume35
Issue number10
DOIs
StatePublished - Oct 1 2013

Keywords

  • Supracricoid partial laryngectomy
  • outcomes
  • radiation therapy
  • swallowing
  • voice

ASJC Scopus subject areas

  • Otorhinolaryngology

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