Clinical Outcome of Supracricoid Partial Laryngectomy: Experience on 31 Patients

Objective: Supracricoidpartial laryngectomy with Cricohyoidoepiglottopexy or Cricohyoïdopexieis an organ preservation surgery indicated for selected T1 to T3 laryngeal cancers. To evaluate functional and oncological outcomes of supracricoid laryngectomy in our department, a retrospective review was conducted. Methods: We summarized the clinical and postoperative data of 31 patients who received SCPL at the period from January 2010 and December 2013. In this report, we describe and critique briefly the functional and oncological outcomes of supracricoid partial laryngectomy recorded by the Department of Otolaryngology Head and Neck Surgery of Casablanca University on the bases of recent literature reviews. We analyzed treatment, functional outcomes including respiration, swallowing and phonation. Oncological results of supracricoid partial laryngectomy were evaluated on local and regional recurrences rates. Results: There were 30 male and 1female patients with ages ranging from 73 to 75 years (median = 58 years). The tumors were present in the glottis in 21 cases and supraglottis in 10 cases. Patients were restaged according to the 2009 UICC staging system. T1, T2, T3 represented 41.6%, 22.6% and 35.5%, respectively of our patients. None of them had lymph node metastases. There were no serious immediate postoperative complications. Removal of the tracheostomy varied between 5 and 90 days. One patient who received Supracricoid partial laryngectomy with Cricohyoidoepiglotto-pexy; presented a complete epiglottis prolapse, which obstructed the neoglottis after pexis; he refused to receive a second surgery. Rehabilitation of swallowing was successful in all but one patients; he required a total laryngectomy for unsuccessful rehabilitation six months after surgery. No local or regional recurrences were noted in all patients. Conclusion: Supracricoid horizontal partial laryngectomy is a reliable and useful procedure surgical oncology technique that yields good functional results for the treatment of selected cases of laryngeal cancer.