title: [The value of supracricoid partial laryngectomy in moderately advanced laryngeal cancer (T3-T4a)].
abstract: BACKGROUND
  Transoral laser microsurgery (TLM) is the method of choice for partial laryngectomy in Germany. In advanced stages, chemoradiotherapy is increasingly indicated for organ preservation.
  
  
  OBJECTIVE
  This report considers the indications for and outcomes of supracricoid partial laryngectomy (SPL), also known as crico-hyoido-(epiglotto)-pexy, as an option for surgical organ preservation in moderately advanced laryngeal cancer (T3-T4a), in the well-defined gap between TLM and chemoradiotherapy protocols in Germany.
  
  
  METHODS
  Retrospective evaluation of functional and oncological outcomes of all SPLs conducted between 2008 and 2014. During this period, 17 SPLs with resection of rpT2 (n = 2), (r)pT3 (n = 11), and (r)pT4a (n = 4) were performed with resection of one arytenoid. Mean age was 58 years (range 47-75 years). In 5 patients, SPL was for a first or second local recurrence after TLM or open partial laryngectomy. Adjuvant radiotherapy was received by 7 patients staged pT4a or pN+.
  
  
  RESULTS
  Salvage laryngectomy with adjuvant radiotherapy was required by 2 patients. The remaining patients (n = 15) had a mean tumor-free follow-up of 4 years with a functional intact larynx: these patients can eat and drink, have a closed tracheotomy, and a good voice. After 3 years tumor-free follow-up with a functional intact larynx, 2 patients died due to cardiac comorbidity at the age of 76 years.
  
  
  CONCLUSIONS
  SPL is a rare but valuable option for surgical larynx preservation in stage pT3-4a laryngeal cancer.
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Schleswig Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. ursula.schroeder@uksh.de.
authors.forename: U
authors.initials: U
authors.lastname: Schroeder
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Schleswig Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Wollenberg
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Schleswig Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: K L
authors.initials: KL
authors.lastname: Bruchhage
mesh_terms: D000368:Aged; D015984:Causality; D015897:Comorbidity; D003413:Cricoid Cartilage / Q000601:surgery; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000453:epidemiology* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments / Q000379:methods / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014832:Voice Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*
keywords: Cricoid cartilage; Laryngeal cancer; Larynx preservation; Partial laryngectomy; Surgery