Factors associated with supracricoid laryngectomy functional outcomes1. Issue 10 (5th October 2012)

• Record Type: Journal Article
• Authors: Clayburgh, Daniel R.; Graville, Donna J.; Palmer, Andrew D.; Schindler, Joshua S.
• Is Part Of: Head & neck. Volume 35:Issue 10(2013:Oct.)
• Page Start: 1397
• Page End: 1403
• Publication Date: 2012-10-05
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23144
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23144-sec-0001" sec-type="section"> <title>Background</title> <p>Supracricoid partial laryngectomy (SCPL) is an option for laryngeal cancer resection that preserves laryngeal function; however, little information exists regarding factors that are associated with functional outcomes.</p> </sec> <sec id="hed23144-sec-0002" sec-type="section"> <title>Methods</title> <p>A medical chart review was performed on patients that underwent SCPL at our institution between 2006 and 2011. Data were collected on surgical, voice, and swallowing outcomes.</p> </sec> <sec id="hed23144-sec-0003" sec-type="section"> <title>Results</title> <p>Eighteen patients were identified. Thirteen underwent cricohyoidoepiglottopexy (CHEP) and 5 had a cricohyoidopexy (CHP). Mean follow‐up was 737 days. On average, decannulation occurred at 27.4 days and feeding tube removal at 87.9 days postoperatively. Sixty‐seven percent of patients tolerated an unrestricted diet at follow‐up. Increased age and a CHP procedure were associated with negative outcomes. Age may be a proxy for more extensive disease and prior treatments.</p> </sec> <sec id="hed23144-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Patients who undergo an SCPL require extensive rehabilitation after surgery. Those who have undergone multiple cancer interventions and have more extensive surgery may be at risk for poorer outcomes. © 2012 Wiley Periodicals, Inc. <italic>Head Neck</italic> 35: 1397–1403, 2013</p> </sec> </abstract>