title: Functional and oncologic results of extended supracricoid partial laryngectomy.
abstract: OBJECTIVE
  To evaluate functional and oncologic results in patients who underwent unilateral arytenoidectomy during supracricoid partial laryngectomy.
  
  
  METHODS
  Retrospective analysis of medical records.
  
  
  METHODS
  Tertiary care referral center.
  
  
  METHODS
  One hundred sixteen patients who had received supracricoid partial laryngectomy.
  
  
  METHODS
  Functional and oncologic results in patients who received supracricoid partial laryngectomy with the extended procedure of unilateral arytenoidectomy.
  
  
  RESULTS
  There was a significantly higher rate of aspiration pneumonia (P = .002) and a longer delay of decannulation (P = .03) in the extended group. No significant differences were noted between the 2 groups in the scores for "normalcy of diet" (P = .68), "eating in public" (P = .65), or "understandability of speech" (P > .99) on the Performance Status Scale for Head and Neck Cancer Patients at the last follow-up visit. Five-year overall recurrence was 24.5% in the extended group. Five-year overall survival was 66.6%, and 5-year disease-specific survival was 72.1% in the extended group.
  
  
  CONCLUSIONS
  Resection of the arytenoids may interrupt physiologic airway protection in the early postoperative period, necessitating special caution to prevent aspiration pneumonia. However, extended supracricoid partial laryngectomy including arytenoidectomy allows for reasonable oncologic safety and avoidance of functional handicaps and social maladjustment.
authors: Department of Otolaryngology-Head and Neck Surgery, 505 Banpodong Seochogu Seoul St Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
authors: Jun-Ook
authors: JO
authors: Park
authors: Young-Hoon
authors: YH
authors: Joo
authors: Kwang-Jae
authors: KJ
authors: Cho
authors: Nam-Gyun
authors: NG
authors: Kim
authors: Min-Sik
authors: MS
authors: Kim
mesh_terms: D000328:Adult; D000368:Aged; D001193:Arytenoid Cartilage / Q000601:surgery*; D003413:Cricoid Cartilage; D003679:Deglutition / Q000502:physiology*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D020127:Recovery of Function; D012189:Retrospective Studies; D013060:Speech / Q000502:physiology*; D016896:Treatment Outcome; D014833:Voice Quality / Q000502:physiology*