Functional Outcome of Supracricoid Partial Laryngectomy With Cricohyoidopexy

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Abstract
Since its description by Majer and Rieder in 1959, supracricoid partial laryngectomy (SPL) with cricohyoidopexy has demonstrated that it can provide a good surgical alternative to the conventional partial and total laryngectomy in the treatment of specific glottic and supraglottic cancers.1-4 Factors against SPL with cricohyoidopexy include invasions of cricoid and arytenoid cartilage, massive invasion of the preepiglottic space, invasion of the base of the tongue, invasion of the thyroid cartilage with extralaryngeal extension, extensive subglottis carcinomas, generally poor condition, and poor bronchopulmonary function of the patient. The failure of radiotherapy is not a contraindication for this technique. On the contrary, presented with long-term functional and oncologic results achieved with SPL, several authors have proposed this surgical procedure as an alternative to radical surgery in the case of laryngeal recurrence after radiotherapy.5-8 The role of SPL as a salvage surgery after radiation failure still remains unclear and has been met with resistance. Even if, and when, a good oncologic result is achieved, major postoperative complications and major difficulties in a functional recovery have been reported.5-8 At present, several reports7,8 have documented the postoperative morbidity and functional outcomes of supracricoid partial laryngectomy in the treatment of laryngeal recurrence after irradiation. In the present study, we retrospectively evaluated and compared the postoperative course and functional outcomes achieved in 2 groups of patients treated with SPL with cricohyoidopexy.

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