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Modified subtotal laryngectomy with cricohyoidoepiglottopexy—long term results in 81 patients
Author(s) -
Crampette Louis,
Garrel Renaud,
Gardiner Quentin,
Maurice Norbert,
Mondain Michel,
Makeieff Marc,
Guerrier Bernard
Publication year - 1999
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199903)21:2<95::aid-hed1>3.0.co;2-f
Subject(s) - anterior commissure , medicine , laryngectomy , posterior commissure , commissure , surgery , radiation therapy , larynx , glottis , survival rate , significant difference , cure rate , laryngeal neoplasm , anatomy , nucleus , psychiatry
Background Standard treatment of early glottic carcinoma is radiotherapy, but involvement of the anterior commissure leads to a reduced cure rate. 1 We investigated retrospectively whether our modified subtotal laryngectomy had improved results for early glottic carcinomas involving the anterior commissure, without causing excessive disability to laryngeal functions. Methods Eighty‐one patients with T1 or T2 glottic carcinoma involving the anterior commissure were reviewed. Follow‐up was at least 3 years. Speech was assessed by subjective evaluation and a computer‐assisted voice analysis device. Results Three‐year overall survival rate and 3‐ and 5‐year actuarial survival rates were, respectively, 90.1%, 95%, and 90.8%, with no difference between the different T stages involved ( p > 0.46). The local recurrence rate was 7.4%. Speech recovered in all patients and was evaluated as satisfactory in 86% of cases. Conclusion For early glottic carcinomas involving the anterior commissure, subtotal laryngectomies appear to be more effective than radiotherapy, and our modified technique simplifies the procedure. © 1999 John Wiley & Sons, Inc. Head Neck 21: 95–103, 1999.