Thursday, August 30, 2018

Functional Outcome of Supracricoid Laryngectomy: The Role of Anatomical Factors (GJO) - Juniper Publishers


Supracricoid laryngectomies (SL) were introduced to radically treat laryngeal tumors while respecting laryngeal function. Despite SL standardized technique allows good functional, only few authors analyzed the influence of different anatomical structures on the functional outcome of cricohyoidopexy (CHP) and cricohyoidoepiglottopexy (CHEP) with preservation of one (A) or both (AA) arytenoids. Thirty-eight (36M, 2F; mean age: 60.9 years) patients were submitted to SL for laryngeal carcinoma. The surgical treatment performed was: 6 (15.8%) CHEP+AA, 20 (52.6%) CHEP+A, 4 (10.6%) CHP+AA, and 8 (21%) CHP+A. Postoperative swallowing, phonation, and breathing functions were examined.


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