Frontoanterior supracricoid laryngectomy with epiglottoplasty

Authors : Nermin BAŞERER

Pages : 86-93

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Publication Date : 2019-06-03

Article Type : Research Paper

Abstract :Objectives: In this study, we aimed to investigate the efficacy and safety of a modified technique, namely frontoanterior supracricoid laryngectomy FASCL with epiglottoplasty. Patients and Methods: A total of eight male patients mean age 55 years; range, 53 to 68 years with glottic cordo-commissural cancer underwent FASCL with epiglottoplasty between 2007 and 2018. Oncologic safety was ensured through the whole thyroid cartilage resection in the form of supracricoid partial laryngectomy SCPL . Early laryngeal rehabilitation was given to all patients postoperatively. Results: Five patients were in Stage T1a-b and three patients were in Stage T2. Five patients with Stage T1a-b cordo-commissural cancer underwent FASCL with bilateral cordectomy. The postoperative period was uneventfully in all patients with early decannulation and nasogastric tube removal took place on the second postoperativ day. Functional rehabilitation duration of Stage T2 cancer was slightly prolonged due to wider endolaryngeal resection. In three patients staged T2 cordocommisural cancer decannülation was performed after 4 days and nasogastric tube was removed within the first weak du to larger endolaryngeal tissu resection in this stage. Conclusion: Our study results suggest that this modified technique followed by early laryngeal rehabilitation yields satisfactory postoperative laryngeal functions. In the laryngeal reconstruction, preservation of the thyroid`s external framework maintenance of laryngeal situation and glottic reconstruction play the most important rol for functional rehabilitation. Total resection of thyroid cartilage provide oncological safety of this technique. Removal of the thyroid cartilage resection does not cause any laryngeal functional rehabilitation problem in the neo larynx.
Keywords : Cordo commissural cancer, epiglottic laryngoplasty, frontoanterior partial laryngectomy, laryngeal preservation surgery, thyroid cartilage resection