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KMID : 0390220000110020280
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 2 p.280 ~ p.285
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Supracricoid Partial Laryngectomy for Recurrent Laryngeal Cancer
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Abstract
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Background and Objectives : Recurrent laryngeal cancer after radiotherapy was mainly treated by total
laryngectomy because of multifocal recurrent site, delayed diagnosis and inaccurate surgical margin, etc. Recently,
it is possible to preserve voice function through conservative laryngeal sugery in case of radiation failed
laryngeal cancer with strict application of indication. In this study, authors studied the curabilty of surpracricoid
partial laryngectomy for radiation failed laryngeal cancers. Materials and Methods : We analyzed retrospectively
18 radiation failed laryngeal cancer patients who were treated with supracricoid partial larynegectomy with
cricohyoidopiglottopexy (CHEP) or cricohyoidopexy (CHP), from May 1996 through September 2000. Their
recurrent TNM stage were T1 in 7 patients, T2 in 7 patients, T3 in 3 patients, T4 in 1 patient. Evaluation of
oncological and functional results were conducted. Mean follow-up period was 22 months. Results : Local
recurrence occured in 1 patient(6%) and cricoid perichondritis in 5 patients(28%), pharyngocutaneous fistula in
1 patient (6%) after operation. Four patients (22%) had to be treated with completion laryngectomy. Voice
function were preserved in 14 patients(78%). Conclusion : Our experience with supracricoid partial
laryngectomy with CHEP or CHP suggest that this technique can be a valuable alternative to total laryngectomy in
radiation failed larygeal canncer.
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