Outcome of Supraglottic Horizontal Laryngectomy

Felipe Guilherme da Silva Souza, José Luiz Ortiz Bogado and Rogério Aparecido Dedivitis

Department of Head and Neck Surgery, Hospital Ana Costa, Brazil
Department of Head and Neck Surgery, Hospital das Clínicas, Brazil

^*Correspondance to: Rog�rio Aparecido Dedivitis 

 PDF  Full Text DOI: 10.25107/2474-1647.1537

Abstract

Introduction: Nowadays the main objective on treatment for laryngeal carcinomas is to achieve function preservation in addition to cancer cure. The Horizontal Supraglottic Laryngectomy shows adequate outcome in both.Objective: Evaluate the outcome in a group of consecutive patients undergoing HSGL.
Methods: Between 1997 and 2016, 15 patients treated for supraglottic and base of the tongue Squamous Cell Carcinoma (SCC) with HSGL were retrospectively studied.
Results: There were 9 patients with T2 and 6 with T3 tumors. Among these, 3 patients had clinical negative neck disease. All patients underwent HSGL. Ten patients were submitted to bilateral radical neck dissection, where as 4 patients were submitted to ipsilateral radical and contra lateral neck dissection. Adjuvant radiotherapy was given to all patients. The follow up ranged from 12 to 60 months. Five-year disease-specific survival and loco regional control were 73.3%. All patients recovered a close to normal function after the treatment. A median of 16 days (7–60) was necessary to recover a close to normal diet. Decannulation took a median of 17 days (8–65). One patient died from aspiration. There was no permanent tracheostomy or total laryngectomy for functional purposes.Conclusion: HSGL remains an adequate therapeutic alternative for supraglottic SCC. Good laryngeal function recovery is the rule.

Keywords

Laryngeal neoplasms; Laryngectomy; Carcinoma; Squamous cell; Radiotherapy; Adjuvant; Retrospective Studies

Cite the article

da Silva Souza FG, Bogado JLO, Dedivitis RA. Outcome of Supraglottic Horizontal Laryngectomy. Clin Surg. 2017; 2: 1537.