title: The Effect of Arytenoidectomy on Functional and Oncologic Results of Supracricoid Partial Laryngectomy.
abstract: OBJECTIVE
  The effect of arytenoid resection was investigated in patients who had undergone supracricoid partial laryngectomy (SCPL) by comparing functional and oncologic results between patients with both arytenoids preserved with those with one arytenoid resected.
  
  
  METHODS
  Patients were divided into 2 groups: (1) both arytenoids preserved SCPL (BASCL) cases and (2) one arytenoid preserved SCPL (OASCL). The functional outcomes of the 2 groups were compared in terms of nasogastric tube removal time, decannulation time, incidence of aspiration pneumonia, and Performance Status Scale Scores for Head and Neck Cancer Patients for the late postoperative period. Additionally, the oncologic outcomes of both groups were compared using the 5-year local control rate, overall survival, disease-specific survival, and larynx preservation rate.
  
  
  RESULTS
  Of the 68 patients who were enrolled in the study, 20 of them were in the OASCL group and 48 in BASCL group. There was no statistically significant difference in the early and late functional outcomes, and the oncologic outcomes were also similar.
  
  
  CONCLUSIONS
  In addition to the proven oncologic safety, arytenoid resection does not increase the functional morbidity of the SCPL.
authors.affiliation: Istanbul University Faculty of Medicine, Istanbul, Turkey bbasaran@istanbul.edu.tr.
authors.forename: Bora
authors.initials: B
authors.lastname: Basaran
authors.affiliation: Istanbul University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Selin
authors.initials: S
authors.lastname: Unsaler
authors.affiliation: Istanbul University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ulusan
authors.affiliation: Istanbul University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Ismet
authors.initials: I
authors.lastname: Aslan
mesh_terms: D000368:Aged; D001193:Arytenoid Cartilage / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D057186:Comparative Effectiveness Research; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey
keywords: arytenoidectomy; functional results; oncologic results; supracricoid laryngectomy