Modified subtotal laryngectomy with cricohyoidoepiglottopexy—long term results in 81 patients

✍ Scribed by Louis Crampette; Renaud Garrel; Quentin Gardiner; Norbert Maurice; Michel Mondain; Marc Makeieff; Bernard Guerrier

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 262 KB
• Volume: 21
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/(sici)1097-0347(199903)21:2<95::aid-hed1>3.0.co;2-f

✦ Synopsis

Background:

Standard treatment of early glottic carcinoma is radiotherapy, but involvement of the anterior commissure leads to a reduced cure rate. we investigated retrospectively whether our modified subtotal laryngectomy had improved results for early glottic carcinomas involving the anterior commissure, without causing excessive disability to laryngeal functions.

Methods:

Eighty-one patients with t1 or t2 glottic carcinoma involving the anterior commissure were reviewed. follow-up was at least 3 years. speech was assessed by subjective evaluation and a computer-assisted voice analysis device.

Results:

Three-year overall survival rate and 3- and 5-year actuarial survival rates were, respectively, 90.1%, 95%, and 90.8%, with no difference between the different t stages involved (p > 0.46). the local recurrence rate was 7.4%. speech recovered in all patients and was evaluated as satisfactory in 86% of cases.

Conclusion:

For early glottic carcinomas involving the anterior commissure, subtotal laryngectomies appear to be more effective than radiotherapy, and our modified technique simplifies the procedure.