Supracricoid Partial Laryngectomy After Failed Laryngeal Radiation Therapy
Article first published online: 4 JAN 2009
Copyright © 1996 The Triological Society
Volume 106, Issue 4, pages 495–498, April 1996
How to Cite
Laccourreye, O., Weinstein, G., Naudo, P., Cauchois, R., Laccourreye, H. and Brasnu, D. (1996), Supracricoid Partial Laryngectomy After Failed Laryngeal Radiation Therapy. The Laryngoscope, 106: 495–498. doi: 10.1097/00005537-199604000-00019
- Issue published online: 4 JAN 2009
- Article first published online: 4 JAN 2009
- Manuscript Accepted: 30 OCT 1995
Twelve patients managed with supracricoid partial laryngectomies(SCPLs) after failed laryngeal radiation therapy (RT) were evaluated. None of the recurrent tumors were amenable to vertical or horizontal partial laryngectomy. Results were analyzed for tracheostomy decannulation, oral alimentation, morbidity, local control, and survival. Major complications included perichondritis (2 patients), laryngeal stenosis (2 patients), and pneumonia from aspiration (1 patient). Mucocutaneous fistula and cricoarytenoid joint ankylosis were not encountered. Margins of resection were uninvolved in all cases. The Kaplan-Meier 3-year actuarial survival and local control estimate was 83.3%. Salvage total laryngectomy allowed for an overall 100% local control rate and a 75% laryngeal preservation rate.
This preliminary report suggests that, in patients with failed laryngeal RT not amenable to vertical or horizontal partial laryngectomy, the SCPL procedures should be discussed before advocating salvage total laryngectomy. Further series analyzing the role and limitations of the various SCPL procedures after failed laryngeal RT are warranted.