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Results after supracricoid horizontal partial laryngectomy

  • A.J. Gonçalves
    Correspondence
    Corresponding author at: Faculty of Medical Sciences of Santa Casa Hospital of São Paulo, Department of Surgery, Discipline of Head and Neck Surgery, Rua Dr. Cesario Motta Jr, 112, Vila Buarque, CEP: 01221-020, São Paulo, SP, Brazil. Tel.: +55 11 2176 7272; fax: +55 11 2176 7267.
    Affiliations
    Associate Professor, Head of the Discipline of Head and Neck Surgery of the Medical Sciences Faculty of Santa Casa Hospital of São Paulo, São Paulo, Brazil
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  • A.A.T. Bertelli
    Affiliations
    Post-Graduate of the Discipline of Head and Neck Surgery of Department of Surgery of the Medical Sciences Faculty of Santa Casa Hospital of São Paulo, São Paulo, Brazil
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  • T.R. Malavasi
    Affiliations
    Resident Doctor of the Discipline of Head and Neck Surgery of the Medical Sciences Faculty of Santa Casa Hospital of São Paulo, São Paulo, Brazil
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  • W. Kikuchi
    Affiliations
    Academic of the Faculty of Medical Sciences of Santa Casa Hospital of São Paulo, Brazil
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  • A.N. Rodrigues
    Affiliations
    Post-Graduate of the Discipline of Head and Neck Surgery of Department of Surgery of the Medical Sciences Faculty of Santa Casa Hospital of São Paulo, São Paulo, Brazil
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  • M.B. Menezes
    Affiliations
    Assistant Professor of the Discipline of Head and Neck Surgery of the Medical Sciences Faculty of Santa Casa Hospital of São Paulo, São Paulo, Brazil
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      Abstract

      Objectives

      This study analyzed oncological and functional results of supracricoid horizontal partial laryngectomy.

      Methods

      A retrospective study was conducted involving 20 patients with squamous cell carcinoma (SCC) of the larynx who underwent SCPL between 1996 and 2005 in Faculty of Medical Sciences of Santa Casa Hospital of Sao Paulo, Brazil. There were 18 male and 2 female patients with ages ranging from 39 to 74 years (median = 58 years), of whom 19 were smokers and 14 alcoholics. The tumors were present in the glottis in 16 cases and supraglottis in 4; 5 were stage I or II and 15 were stage III or IV. We analyzed treatment given when rehabilitation was unsuccessful, oncological results of SCPL, including local and regional recurrences, time to recurrence and treatment given, distal metastases, global survival, survival free of disease, and appearance of second primary tumors. We also calculated the index of functional preservation of the larynx.

      Results

      Rehabilitation of swallowing capabilities and speech was achieved in 18 patients. Removal of the tracheostomy varied between 1 and 9 months. Rehabilitation was unsuccessful in two patients. Three patients required a total laryngectomy, two for unsuccessful rehabilitation and one for recurrence. The preservation of a functional larynx was 85%, with 10% of patients requiring a total laryngectomy after failed rehabilitation.

      Conclusions

      Supracricoid horizontal partial laryngectomy is an efficient surgical oncology technique that yields good functional results for the treatment of laryngeal cancer.

      Keywords

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