title: Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy.
abstract: Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy (TCHEP) was studied as an alternative to total laryngectomy in 16 patients with glottic carcinoma presenting a 10-15 mm of anterior subglottic extent. The technique of the procedure is described. Results were analyzed for tumor free margins, tracheostomy decannulation, oral alimentation, phonation and disease free interval. The 3-year survival and local control rate were 68% and 86.7%, respectively. Our preliminary data suggest that the TCHEP procedure is a viable alternative to total laryngectomy for patients presenting with varying degrees of carcinoma extension below the free edge of the true vocal cords.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hôpital Laënnec, University Paris V, France.
authors.forename: O
authors.initials: O
authors.lastname: Laccourreye
authors.forename: J
authors.initials: J
authors.lastname: Ross
authors.forename: D
authors.initials: D
authors.lastname: Brasnu
authors.forename: E
authors.initials: E
authors.lastname: Chabardes
authors.forename: J H
authors.initials: JH
authors.lastname: Kelly
authors.forename: H
authors.initials: H
authors.lastname: Laccourreye
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D003413:Cricoid Cartilage / Q000601:surgery*; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D015996:Survival Rate; D014132:Trachea / Q000601:surgery*