[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.
CHU Hôpital Aristide Le Dantec, Service ORL et CCF, avenue Pasteur, BP 6483, 11522 Dakar Etoile, Senégal. malickndiay@yahoo.fr
M
M
Ndiaye
O
O
Dassonville
G
G
Poissonnet
J
J
Vallicioni
A
A
Bozec
J
J
Santini
F
F
Demard
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