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Functional and Oncologic Results of Extended Supracricoid Partial Laryngectomy

Functional and Oncologic Results of Extended Supracricoid Partial Laryngectomy ORIGINAL ARTICLE Functional and Oncologic Results of Extended Supracricoid Partial Laryngectomy Jun-Ook Park, MD; Young-Hoon Joo, MD; Kwang-Jae Cho, MD; Nam-Gyun Kim, MD; Min-Sik Kim, MD, PhD Objective: To evaluate functional and oncologic re- differences were noted between the 2 groups in the scores sults in patients who underwent unilateral arytenoidec- for “normalcy of diet” (P=.68), “eating in public” (P=.65), tomy during supracricoid partial laryngectomy. or “understandability of speech” (P.99) on the Per- formance Status Scale for Head and Neck Cancer Pa- Design: Retrospective analysis of medical records. tients at the last follow-up visit. Five-year overall recur- rence was 24.5% in the extended group. Five-year overall Setting: Tertiary care referral center. survival was 66.6%, and 5-year disease-specific survival was 72.1% in the extended group. Patients: One hundred sixteen patients who had re- ceived supracricoid partial laryngectomy. Conclusions: Resection of the arytenoids may inter- rupt physiologic airway protection in the early postop- Main Outcome Measures: Functional and onco- erative period, necessitating special caution to prevent logic results in patients who received supracricoid par- aspiration pneumonia. However, extended supracricoid tial laryngectomy with the extended procedure of uni- partial laryngectomy including arytenoidectomy allows lateral arytenoidectomy. for reasonable oncologic safety and avoidance of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Functional and Oncologic Results of Extended Supracricoid Partial Laryngectomy

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archoto.2011.182
pmid
22106237
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Functional and Oncologic Results of Extended Supracricoid Partial Laryngectomy Jun-Ook Park, MD; Young-Hoon Joo, MD; Kwang-Jae Cho, MD; Nam-Gyun Kim, MD; Min-Sik Kim, MD, PhD Objective: To evaluate functional and oncologic re- differences were noted between the 2 groups in the scores sults in patients who underwent unilateral arytenoidec- for “normalcy of diet” (P=.68), “eating in public” (P=.65), tomy during supracricoid partial laryngectomy. or “understandability of speech” (P.99) on the Per- formance Status Scale for Head and Neck Cancer Pa- Design: Retrospective analysis of medical records. tients at the last follow-up visit. Five-year overall recur- rence was 24.5% in the extended group. Five-year overall Setting: Tertiary care referral center. survival was 66.6%, and 5-year disease-specific survival was 72.1% in the extended group. Patients: One hundred sixteen patients who had re- ceived supracricoid partial laryngectomy. Conclusions: Resection of the arytenoids may inter- rupt physiologic airway protection in the early postop- Main Outcome Measures: Functional and onco- erative period, necessitating special caution to prevent logic results in patients who received supracricoid par- aspiration pneumonia. However, extended supracricoid tial laryngectomy with the extended procedure of uni- partial laryngectomy including arytenoidectomy allows lateral arytenoidectomy. for reasonable oncologic safety and avoidance of

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Nov 1, 2011

References