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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: feinmesserr@clalit.org.il
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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

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