Abstract
Identification of prognostic factors related to supracricoid partial laryngectomy may optimise indications for this surgical technique. We analysed several clinical and histopathological variables in a series of 81 patients treated with SPL at our department. Attention was focused on neoplastic spread of the anterior commissure, thyroid cartilage and prelaryngeal soft tissue of the neck. Statistical analysis (Kaplan-Meier method and Cox regression test) showed a significant decrease in survival for prelaryngeal soft tissue invasion. Due to the fact that the survival rate is not modified by the anterior commissure and thyroid cartilage infiltration, the prognostic value of prelaryngeal invasion is extremely relevant. Therefore, we suggest the oncological value of SPL even in cases of invasion of the anterior commissure or thyroid cartilage, but not beyond the outer perichondrium.
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References
Bagatella F, Bignardi L (1981) Morphological study of the laryngeal anterior commissure with regard to the spread of cancer. Acta Otolaryngol 92:167–171
Bron L, Brossard E, Monnier P, Pasche P (2000) Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottica and supraglottic carcinomas. Laryngoscope 110:627–634
Bron L, Soldati D, Zouhair A, Ozsahin M, Brossard E, Monnier P, Pasche P (2001) Treatment of early stage squamous-cell carcinoma of the glottic larynx: endoscopic surgery or cricohyoidoepiglottopexy versus radiotherapy. Head Neck 23:823–829
Broyles EN (1943) The anterior commissure tendon. Ann Otol Rhinol Laryngol 52:342–345
Calearo C, Bignardi L (1989) Laringectomia subtotale ricostruttiva: nostra esperienza. Acta Otorynol Ital 9:281–295
Castelijns JA, Gerritsen GJ, Kaiser MC (1988) Invasion of laryngeal cartilage by cancer: comparison of CT and MR imaging. Radiology 167:199–206
Cox DR, Oakes D (1984) Analysis of survival data. Chapman & Hall, New York
Dawson-Saunders B, Trapp RG (1994) Basic and clinical biostatistic. Appleton & Lange, Norwalk
De Campora E, Radici M, Bicciolo G (1995) Carcinomi T4 della laringe: possibilità di trattamento conservativo. Risultati oncologici e funzionali a distanza. Acta Otorhinol Ital 15:28–39
Ferlito A, Silver CE, Howard DJ, Laccourreye O, Rinaldo A, Owen R (2000) The role of partial resection in current management of laryngeal cancer: a collective review. Acta Otolaryngol 120:456–465
Guerrier B (1989) Cancer of the laryngeal vestibule: a retrospective study of 161 cases. Arch Otolaryngol 163:378–381
Hassmann E, Skotnicka B (1998) Feasibility of supracricoid laryngectomy based on pathological examination. Eur Arch Otorhinolaryngol 225:68–73
Labayle J, Bismuth R (1971) Laringectomie totale avec reconstruction. Ann Otolaryngol 74:219–228
Laccourreye H, Laccourreye O, Weinstein G, Menard M, Brasnu D (1990) Supracricoid laryngectomy with cricohyoidopexy: a partial laryngeal procedure for selected supraglottic and transglottic carcinomas. Laryngoscope 100:735–741
Laccourreye O, Muscatello L, Laccourreyè L, Naudo P, Brasnu D, Weinstein GS (1997) Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for “early” glottic carcinoma classified as T1-T2N0 invading the anterior commissure. Am J Otolaryng 18:1–7
Laccourreye O, Laccourreye L, Muscatello L, Périé S, Weinstein G, Brasnu D (1998) Local failure after supracricoid partial laryngectomy: symptoms, management and outcome. Laryngoscope 108:339–344
Majer E, Rieder W (1959) Technique de laryngectomie permettant de conserver la permeabilite respiratoire: la cricohyoidopexie. Ann Otolaryngol Chir Cervicofac 76:677–683
Nakayama M, Brandenburg JH (1993) Clinical underestimation of laryngeal cancer. Predictive indicators. Arch Otolaryngol Head and Neck Surg 119:950–957
Naudo P, Laccourreye O, Weinsten G, Hans S, Laccourreye H, Brasnu D (1997) Functional outcome and prognosis factors after supracricoid partial laryngectomy with cricohyoidopexy. Ann Otol Rhinol Laryngol 106:291–296
Naudo P, Laccourreye O, Weinsten G, Jouffre V, Laccourreye H, Brasnu D (1998) Complications and functional outcome after supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Otolaryngol Head Neck Surg 118:124–129
Pallestrini EA, Garaventa G (1998) Laringectomia ricostruttiva sopracricoidea secondo Labayle: esperienze personali e valutazione di pazienti a prolungato follow-up. Acta Otorynolaryngol Ital 18:148–154
Piquet JJ, Chevalier D (1991) Subtotal laryngectomy with crico-hyoido-epiglotto-pexy for treatment of extended glottic carcinoma. Am J Surg 162:357–361
Rifai M, Heiba MH, Salah H (2002) Anterior commissure carcinoma II: the role of salvage supracricoid laryngectomy. Am J Otolaryngol 23:1–3
Rifai M, Khattab H (2000) Anterior commissure carcinoma: I-histopathologic study. Am J Otolaryngol 21:294–297
Rucci L, Gallo O, Fini-Storchi O (1991) Glottic cancer involving anterior commissure: surgery vs. radiotherapy. Head Neck 403–410
Serafini I (1972) Laryngectomie reconstructive. Revue Laryngol 93:23–38
U.I.C.C. International Union Against Cancer (2002) TNM classification of malignant tumours, 6th edn. Wiley-Liss, New York
Yeager VL, Archer CR (1982) Anatomical routes for cancer invasion of laryngeal cartilages. Laryngoscope 92:449–452
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Targa, L., Grandi, E., Chiarello, G. et al. Prognostic evaluation in supracricoid partial laryngectomy with cricohyoidopexy. Eur Arch Otorhinolaryngol 262, 465–469 (2005). https://doi.org/10.1007/s00405-004-0856-3
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DOI: https://doi.org/10.1007/s00405-004-0856-3