title: Laryngeal function preservation following supracricoid partial laryngectomy.
abstract: BACKGROUND
  Supracricoid partial laryngectomy is a surgical technique that preserves laryngeal function.
  
  
  METHODS
  A retrospective review of clinical records identified 41 patients that underwent supracricoid partial laryngectomy at our institution since 1998. In all, 26 patients with a minimum follow-up of 3 months were alive with a functioning larynx. All of them accepted participation in a functional evaluation.
  
  
  RESULTS
  Ninety-seven percent of the patients were decannulated, and every patient achieved oral intake. The 5-year actuarial laryngoesophageal dysfunction-free survival was 66.5%. Median Voice Handicap Index (VHI) score was 26, with 75% of patients scoring <40. The Median MD Anderson Dysphagia Inventory (MDADI) score was 92, with 75% of patients scoring ≥80. Median maximum phonation time (MPT) was 12 seconds. Median maximum intensity (Imax) was 99 dB.
  
  
  CONCLUSIONS
  Supracricoid partial laryngectomy allows laryngeal function preservation at a rate similar to that of chemoradiation protocols. When a careful preoperative patient selection is performed, long-term functional results are outstanding. © 2011 Wiley Periodicals, Inc. Head Neck, 2012.
authors.affiliation: Department of Otolaryngology, La Paz University Hospital, Madrid, Spain. alejandrocastro@teleline.es
authors.forename: Alejandro
authors.initials: A
authors.lastname: Castro
authors.forename: Isabel
authors.initials: I
authors.lastname: Sanchez-Cuadrado
authors.forename: Ricardo
authors.initials: R
authors.lastname: Bernaldez
authors.forename: Antonio
authors.initials: A
authors.lastname: Del Palacio
authors.forename: Javier
authors.initials: J
authors.lastname: Gavilan
mesh_terms: D000328:Adult; D000368:Aged; D003413:Cricoid Cartilage / Q000601:surgery*; D003679:Deglutition; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010699:Phonation; D011788:Quality of Life; D020127:Recovery of Function; D012189:Retrospective Studies