[Assessment of quality of life in patients treated by supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP)].
OBJECTIVE
To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP). To examine how quality-of-life may be associated to the treatment received: neck dissection, decannulation and radiotherapy.


METHODS
A descriptive, observational, cross-sectional study was conducted involving 26 patients out of a group of 51. They were all males with an average age of 61.7 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL).


RESULTS
During an average follow-up period of 83.65 months, 2 patients (3.92%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 95.83%. Communication and overall disturbances caused by treatment were found to be the two quality-of-life domains mainly affected. Generally speaking, patients who had received radiotherapy, those who had not had their tracheal cannula removed or those that had undergone neck dissection were the most affected.


CONCLUSIONS
SCPL with CHEP as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life.
Márquez Moyano
J A
JA
Servicio de Otorrinolaringología, Hospital Universitario Reina Sofía, Córdoba. marquezmoyano@terra.es
Sánchez Gutiérrez
R
R
Roldán Nogueras
J
J
Ostos Aumente
P
P
López Villarejo
P
P
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D003413:Cricoid Cartilage / Q000601:surgery*; D004825:Epiglottis / Q000601:surgery*; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery; D007825:Laryngectomy / Q000523:psychology*; D008875:Middle Aged; D009367:Neoplasm Staging; D011788:Quality of Life; D011795:Surveys and Questionnaires