Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for patients with laryngeal cicatricial stenosis: Safety and efficacy. Issue 9 (4th May 2021)

• Record Type: Journal Article
• Authors: Yu, Lingyu; Zheng, Meijun; Ren, Jia; Hu, Juanjuan; Lu, Dan; Yang, Hui
• Is Part Of: Head & neck. Volume 43:Issue 9(2021)
• Page Start: 2634
• Page End: 2643
• Publication Date: 2021-05-04
• Subjects: cicatricial stenosis of the larynx -- laryngeal function -- SCL‐CHEP -- supracricoid partial laryngectomy with cricohyoidoepiglottopexy -- vocal evaluation; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.26734
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: We assessed the safety and efficacy of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCL‐CHEP) in patients with laryngeal cicatricial stenosis. Methods: Sixteen patients receiving SCL‐CHEP for severe laryngeal cicatricial stenosis between 2017 and 2018 were reviewed. Decannulation rate and tracheostomy closure time were used to evaluate efficacy. The Voice Handicap Index‐10 (VHI‐10), Voice‐related Quality of Life (V‐RQOL) scale and Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale were used to assess vocal function. Fiberoptic endoscopic evaluation of swallowing (FEES) was performed and the Penetration‐Aspiration Scale (PAS), Eating Assessment Tool‐10 (EAT‐10), and Swallow Quality of Life Questionnaire (SWAL‐QOL) were used to assess swallowing function. Results: Thirteen patients (81.25%) were decannulated successfully. The average tracheostomy closure time was 45.15 days. There was no observed postoperative complications or recurrence of stenosis. VHI‐10 and V‐RQOL scores showed significantly improved V‐RQOL ( p < 0.05). FEES‐PAS, EAT‐10, and SWAL‐QOL showed no swallowing function damage. Conclusions: SCL‐CHEP is effective and safe for patients with severe laryngeal cicatricial stenosis. Accurate pre‐procedure evaluation is especially important for patient selection and surgical success.