[Supraglottic laryngectomy. Still on-going].
BACKGROUND
Horizontal supraglottic laryngectomy (HSL) allows the preservation of a functioning larynx and avoids a permanent tracheostoma. Its use and training have been conditioned by the employment of organ preservation programs and endoscopic laser surgery.


OBJECTIVE
To show functional and oncological long-term results of HSL.


METHODS
110 patients treated with HSL with a minimum of 5 years follow-up.


RESULTS
Local control, 89% for T1, 91% for T2, 80% for T3 and 91% for T4. Regional control 80.9%. Cause specific survival, 77.6%, 72.6% and 67% at 3, 5 and 10 years, significantly influenced by N-stage. Functional larynx preservation, 87%, with a 8.5% of non-decanulated patients.


CONCLUSIONS
HSL is a safe surgical procedure, with similar functional and oncological results to other therapeutic options. Its indications should be considered according to own experience and results.
Herranz
J
J
Servicio de Otorrinolaringología, Hospital Universitario Juan Canalejo, A Coruña. jhg@canalejo.org
Martínez Vidal
J
J
Martínez Morán
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005500:Follow-Up Studies; D005931:Glottis; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged