title: Supracricoid partial laryngectomy: analyses of oncologic and functional outcomes.
abstract: OBJECTIVE
  The aim of this study was to analyze the functional and oncologic results of supracricoid partial laryngectomy.
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
  
  
  METHODS
  The medical records of 56 patients, who underwent supracricoid partial laryngectomy between March 2002 and December 2010, were reviewed in this study. Forty-three patients underwent supracricoid partial laryngectomy with cricohyoidopexy, and 13 patients underwent cricohyoidoepiglottopexy. The overall and disease-specific survival, local control rates, and the mean time of decannulation and nasogastric tube removal were evaluated. Association of type of surgery with the functional and oncologic outcomes was evaluated and statistically compared.
  
  
  RESULTS
  The median follow-up period was 58 months. The 1-, 3-, and 5-year overall survival rates were 100%, 96.4%, and 82.1%, respectively. The 1-, 3-, and 5-year local control rates were 100%, 96.1%, and 92.5%, respectively. Type of surgery did not show any significant difference in survival and local control rates (P = .546, P = .455). The mean (SD) decannulation and nasogastric feeding tube removal time was 11.43 (2.03) and 16.79 (3.51) days, respectively. The mean time of decannulation and nasogastric tube removal was significantly longer in patients who underwent cricohyoidopexy when compared with those who underwent cricohyoidoepiglottopexy (P = .002, P = .000).
  
  
  CONCLUSIONS
  Although delaying deglutition functions could be termed a disadvantage of supracricoid laryngectomy, especially with cricohyoidopexy, supracricoid laryngectomy has reliable oncologic and functional results for locally advanced laryngeal cancers while maintaining laryngeal functions.
authors.affiliation: Otorhinolaryngology Department, Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Pinar
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Imre
authors.forename: Caglar
authors.initials: C
authors.lastname: Calli
authors.forename: Semih
authors.initials: S
authors.lastname: Oncel
authors.forename: Huseyin
authors.initials: H
authors.lastname: Katilmis
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D003413:Cricoid Cartilage / Q000601:surgery; D003679:Deglutition / Q000502:physiology; D020878:Device Removal; D004750:Enteral Nutrition / Q000295:instrumentation; D004825:Epiglottis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D013957:Thyroid Cartilage / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey