[Supra-cricoid partial laryngectomy extended to the anterior arch of the cricoid with tracheo-crico-hyoido-epiglottopexy. Oncologic and functional results].
21 patients with glottic carcinoma presenting anterior infraglottic extent of tumor, classified T2-T4, were offered and extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy (TCHEP) between 1979 and 1994 at our department. The technique for the procedure, the duration of tracheotomy tube, naso-gastric feeding tube, and hospital stay are presented. Postoperative complications and management were described. The 5-year actuarial survival, local control, nodal recurrence, distant metastasis, and metachroneous second primary tumor estimate was 74.7%, 88.9%, 11.1%, 22.4% and 15%, respectively. Overall a 95.2% (20/21) local control rate was achieved with a 90.5% (19/21) laryngeal preservation rate.
Laccourreye
O
O
Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, Université Paris V, France.
Brasnu
D
D
Jouffre
V
V
Couloigner
V
V
Naudo
P
P
Laccourreye
H
H
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D003413:Cricoid Cartilage / Q000601:surgery; D004825:Epiglottis / Q000601:surgery; D005260:Female; D005931:Glottis; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D007829:Laryngostenosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013536:Suture Techniques
Laryngectomie partielle supracricoidienne étendue à l'arc antérieur du cricoïde avec trachéocricohyoidoépiglottopexie. Résultats carcinologiques et fonctionnels.