[The supracricoid laryngectomy with cricohyoidopexy. Carcinological and functional results. 23 cases report of the Centre A. Lacassagne (Nice)].
OBJECTIVE
This study is to estimate the survival results, the morbidity and the functional consequences of the supracricoid laryngectomy with cricohyoïdopexy (SL-CHP).


METHODS
Between 1990 and 2001, 23 patients had a SL-CHP in Centre Antoine Lacassagne of Nice. The average age was of 59 years. Patients were classified as follow: 1 T1, 11 T2, 10 T3 and 1 T4 (invasion of the thyroid cartilage without involving of anterior soft tissues). 17 patients were NO (73.9%). A bilateral radical neck dissection was performed in 10 cases, a radical neck dissection was associated to a functional neck dissection (1 case) and a homolateral functional neck dissection (10 cases).


RESULTS
The limits were insufficient for a patient. Six patients were N+ (28.5%) of which 4 N+R+. The average delay was 21 days and 32.7 days to remove respectively the tracheotomy and the nasogastric tube. A functional total laryngectomy was done in two cases. We noted two cases of local recurrence. Survivals according to the method of Kaplan-Meier are 81% in 3 years and 75% in 5 years.


CONCLUSIONS
The SL-CHP represents an alternative to the total laryngectomy for the supraglottic and transglottic carcinomas.
Ndiaye
M
M
CHU Hôpital Aristide Le Dantec, Service ORL et CCF, avenue Pasteur, BP 6483, 11522 Dakar Etoile, Senégal. malickndiay@yahoo.fr
Dassonville
O
O
Poissonnet
G
G
Vallicioni
J
J
Bozec
A
A
Santini
J
J
Demard
F
F
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D003413:Cricoid Cartilage / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D037981:Neck Dissection; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome