Oncologic Results of Supracricoid Laryngectomy: Results From Two Tertitory Centers
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Original Article
P: 504-510
2020

Oncologic Results of Supracricoid Laryngectomy: Results From Two Tertitory Centers

Acta Haematol Oncol Turc 2020;53(3):504-510
1. Marmara University, Pendik Research and Training Hospital,Department of Otorhinolaryngology, İstanbul
2. Umraniye Education and Research Hospital, Department of Otorhinolaryngology, Istanbul, Turkey.
3.
No information available.
No information available
Received Date: 2020-09-16T21:14:28
Accepted Date: 2020-12-30T17:44:00
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Abstract

INTRODUCTION

Larynx cancer is the second most frequent head and neck cancer and important cause of morbiditity and mortality. Supracricoid laryngectomy is one of the open partial laryngeal surgerical techniques which is an important tool for treatment of laryngeal cancer. The purpose of this study was to evaluate the oncological outcomes of laryngeal carcinoma patients treated with supracricoid laryngectomy.

METHODS

A total of 47 cases were retrospectively analyzed from two tertiarian head and neck clinics with laryngeal carcinoma that underwent supracricoid laryngectomy from 2009 to 2019. Sociodemographic characteristics, histopathologic characteristics of tumor specimens, and survival analysis were assessed.

RESULTS

Early stage laryngeal cancer was detected in 29 (61.7%) of the patients, and 20 (38.3%) of the patients had advanced laryngeal cancer. In 29 cases (61.7%) larynx cancer was located in glottis and lymph node involvement was found to be significantly less in cases with glottic location (p< 0.001). While 5-year overall survival was 74.5%, 5-year overall survival was 88.5% and 69.2% in early and advanced stage cases.

DISCUSSION AND CONCLUSION

The two most important factors in the determination of successful treatment in treating laryngeal cancer are survival time and preserving laryngeal function. Supracricoid laryngectomy is one of the key tools used in treating laryngeal cancers. Through preserving a healthy larynx in appropriate patients, it is possible to provide permanent improvement while adhering to the surgical technique and oncological rules.