Functional outcome of supracricoid partial laryngectomy with cricohyoidopexy: radiation failure vs previously untreated cases.
OBJECTIVE
To evaluate the postoperative course and functional outcomes achieved in patients treated with supracricoid partial laryngectomy (SPL) with cricohyoidopexy.


METHODS
Retrospective analysis.


METHODS
National Cancer Institute "Regina Elena."


METHODS
Eighty-two consecutive patients who underwent SPL with cricohyoidopexy between September 1, 1988, and June 30, 2005, were evaluated. The patient cohort was divided into 2 groups: one affected by untreated laryngeal cancer and the other with laryngeal recurrence after radiotherapy.


METHODS
The postoperative complications and functional outcomes of both patient groups were evaluated and statistically compared.


RESULTS
No statistical differences were found between the functional results of the 2 groups of patients analyzed.


CONCLUSIONS
Although a slightly delayed recovery of physiological functions of the larynx could be termed a disadvantage of SCL with cricohyoidopexy after radiotherapy, this operation is a reliable and useful procedure for selected patients with recurrent cancer who would otherwise have been operated on and received a total laryngectomy.
Pellini
Raul
R
Department of Otorhinolaryngology--Head and Neck Surgery, National Cancer Institute "Regina Elena," Rome, Italy.
Manciocco
Valentina
V
Spriano
Giuseppe
G
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003413:Cricoid Cartilage / Q000601:surgery*; D003679:Deglutition / Q000502:physiology; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010699:Phonation / Q000502:physiology; D011183:Postoperative Complications; D012189:Retrospective Studies; D016879:Salvage Therapy; D016896:Treatment Outcome