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Salvage supracricoid laryngectomy after failed radiotherapy and partial laryngectomy

Published online by Cambridge University Press:  30 December 2014

M Nakayama ,
S Miyamoto ,
S Okabe  and
M Okamoto
M Nakayama*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan
S Miyamoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan
S Okabe
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan
M Okamoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan
*
Address for correspondence: Dr M Nakayama, Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 252-0374, Japan Fax:+81–42–778–8441 E-mail: meijin@med.kitasato-u.ac.jp
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Abstract

Background:

A case of salvage supracricoid laryngectomy with cricohyoidoepiglottopexy after failed radiation therapy and vertical partial laryngectomy had successful oncological and functional outcomes. This is the first reported application of salvage supracricoid laryngectomy with cricohyoidoepiglottopexy after the failure of two major treatments.

Case report:

A 65-year-old man was referred for salvage supracricoid laryngectomy with cricohyoidoepiglottopexy. The right recurrent hemilarynx was successfully resected. After pexis, the right lobe of the thyroid gland was repositioned to overlap and reinforce the pexis gap and fill the devoid portion of the strap muscular closure. Multiple scattered foci (recurrent tumour–node–metastasis stage T2) were identified around the arytenoid cartilage and beneath the musculocutaneous flap. Four years after supracricoid laryngectomy with cricohyoidoepiglottopexy, the patient's recovery was following a favourable course and he had satisfactory laryngeal function.

Conclusion:

Appropriate case selection and proficient surgical skills were essential for a successful outcome. Head and neck surgeons should not be afraid to adopt functional preservation open surgical procedures in well-selected and well-motivated patients. A requirement for more challenging surgical procedures and meticulous rehabilitation processes should not exclude appropriate treatments from a surgeon's repertoire.

Keywords

Laryngeal CancerOrgan Preservation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 1 , January 2015 , pp. 101 - 105
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Majer, EH, Rieder, W. Technique of laryngectomy permitting the conservation of respiratory permeability (cricohyoidopexy) [in French]. Ann Otolaryngol 1959;76:677–81Google Scholar
2Piquet, J, Chevalier, D. Subtotal laryngectomy with crico-hyoidoepiglotto-pexy for the treatment of extended glottic carcinomas. Am J Surg 1991;162:357–61CrossRefGoogle ScholarPubMed
3Laccourreye, H, Laccourreye, O, Weinstein, G, Menard, M, Brasnu, D. Supracricoid laryngectomy with cricohyoidoepiglottopexy: A partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol 1990;99:421–6CrossRefGoogle ScholarPubMed
4Sperry, SM, Rassekh, CH, Laccourreye, O, Weinstein, GS. Supracricoid partial laryngectomy for primary and recurrent laryngeal cancer. JAMA Otolaryngol Head Neck Surg 2013;139:1226–35Google Scholar
5Zhang, S, Lu, Z, Chen, L, Lou, X, Ge, P, Song, X et al. Supracricoid partial laryngectomy cricohyoidoepiglottopexy (SCPL-CHEP) versus vertical partial laryngectomy for the treatment of glottic carcinoma. Eur Arch Otorhinolaryngol 2013;270:1027–34Google Scholar
6Nakayama, M, Okamoto, M, Miyamoto, S, Yokobori, S, Takeda, M, Masaki, T et al. Supracricoid laryngectomy with cricohyoidoepiglotto-pexy or cricohyoido-pexy: Experience on 32 patients. Auris Nasus Larynx 2008;35:77–82Google Scholar
7Kim, M, Sun, D, Park, K, Cho, K, Park, Y, Cho, S. Paraglottic space in supracricoid laryngectomy. Arch Otolaryngol Head Neck Surg 2002;128:304–7CrossRefGoogle ScholarPubMed
8Laccourreye, O, Laccourreye, L, Garcia, D, Gutierrez-Fonseca, R, Brasnu, D, Weinstein, G. Vertical partial laryngectomy versus supracricoid partial laryngectomy for selected carcinomas of the true vocal cord classified as T2N0. Ann Otol Rhinol Laryngol 2000;109:965–71CrossRefGoogle ScholarPubMed
9Nakayama, M, Okamoto, M, Hayakawa, K, Ishiyama, H, Kotani, S, Miyamoto, S et al. Clinical outcome of supracricoid laryngectomy with cricohyoidoepiglottopexy: radiation failure versus previously untreated patients. Auris Nasus Larynx 2013;40:207–10Google Scholar
10Luna-Ortiz, K, Nuñez-Valencia, E, Carmona-Luna, T. Supracricoid partial laryngectomy as salvage for recurrent carcinoma of the larynx initially treated by vertical partial hemilaryngectomy. Case report [in Spanish]. Cir Cir 2008;76:333–7Google Scholar
11Loyo, M, Laccourreye, O, Weinstein, G, Helsingr, C. Corniculate reconstruction after arytenoid resection in supracricoid laryngectomy. Laryngoscope 2014;124:472–5Google Scholar
12Nakayama, M, Okamoto, M, Seino, Y, Miyamoto, S, Matsuki, T, Ogawa, A. Delayed wound infection after supracricoid partial laryngectomy following failure of high dose radiation. Eur Arch Otorhinolaryngol 2011;268:273–9Google Scholar
13Naudo, P, Laccourreye, O, Weinstein, G, Jouffre, V, Laccourreye, H, Brasnu, D. Complications and functional outcome after supracricoid laryngectomy with cricohyoidoepiglottopexy. Otolaryngology Head Neck Surg 1998;118:124–9Google Scholar
14Park, J, Joo, Y, Cho, K, Kim, N, Kim, M. Functional and oncologic results of extended supracricoid partial laryngectomy. Arch Otolaryngol Head Neck Surg 2011;137:1124–9.CrossRefGoogle ScholarPubMed
15Laccourreye, O, Ross, J, Brasnu, D, Chabardes, E, Kelly, J, Laccourreye, H. Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy. Arch Otolaryngol 1994;114:669–74Google Scholar