Oncologic results of the surgical salvage of recurrent laryngeal squamous cell carcinoma in a multicentric retrospective series: Emerging role of supracricoid partial laryngectomy

Vincentiis, Marco de; Virgilio, Armando De; Bussu, Francesco; Gallus, Roberto; Gallo, Andrea; Bastanza, Giovanni; Parrilla, Claudio; Greco, Antonio; Galli, Jacopo; Turchetta, Rosaria; Almadori, Giovanni; Pagliuca, Giulio; Valentini, Vincenzo; Paludetti, Gaetano

doi:10.1002/hed.23563

Cited by 46 publications

(44 citation statements)

References 40 publications

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“…These results are in accordance with those reported by other authors in literature [38,39]. In addition, SCPL has achieved a progressive more outstanding role as salvage conservative procedure after radiotherapy failure [40,41].…”

Section: Discussionsupporting

confidence: 92%

Subtotal supracricoid laryngectomy: changing in indications, surgical techniques and use of new surgical devices

Mannelli

Meccariello

Deganello

et al. 2014

American Journal of Otolaryngology

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Purpose: The aim of this study is to evaluate the evolution of supracricoid partial laryngectomy (SCPL) in indications, surgical techniques and outcomes through last decades. Oncological outcomes did not report any significant differences. Group B showed a higher incidence of post-operative arytenoid edema (p = 0.03) associated with a lower rate of pneumonia (p = 0.038). Despite a higher rate of close or positive-margins found in group B no higher incidence of local-recurrence was reported (p = 0.02) compared to group A. Conclusions: We documented changing in indications and surgical technique for SCPL because of the development of modern diagnostic techniques and the introduction of low-thermal injury device allowing a more challenging tumor excision as well as with a shorter swallowing recovery in our series.

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Section: Discussionsupporting

confidence: 92%

Subtotal supracricoid laryngectomy: changing in indications, surgical techniques and use of new surgical devices

Mannelli

Meccariello

Deganello

et al. 2014

American Journal of Otolaryngology

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“…Its results have been satisfactory either for the preservation of the organ as for the functional benefits (1,2,3,4,5,6,7) . However, despite such reports, the subjects' vocal self-assessment and the analysis related to the vocal handicap did not reveal differences between both groups.…”

Section: Discussionmentioning

confidence: 99%

“…Supracricoid partial laryngectomy (SCPL) has been pointed out as advantageous when compared to total laryngectomy (TL), especially considering that it aims to preserve part of the organ (1,2,3,4,5,6,7) . Survival rates of SCPL are similar to the TL ones (6,8) , although it may benefit the patient by not using permanent tracheostomy.…”

Section: Introductionmentioning

confidence: 99%

Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Oliveira

Marialva

2017

Audiol., Commun. Res.

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Introduction:The laryngeal cancer treatment causes significant changes in the quality of life. Purpose: To assess and compare the vocal handicap and the coping strategies to deal with the vocal handicap resulting from supracricoid and total laryngectomy. Methods: Analytical, prospective observational study of groups of subjects with the same disease. Seventeen subjects were assessed and divided in two groups; the first with eight male subjects submitted to supracricoid partial laryngectomy, with cricohyoidoepiglottopexy, mean age of 67,5; and a second group with nine subjects, two women and seven men, submitted to total laryngectomy, mean age of 64,3. All subjects answered the Vocal Handicap Index-10 (VHI-10) and the Coping Strategies in Dysphonia Protocol (PEED-27). Results: The mean values of raw scores obtained with the VHI-10 by the two groups did not reveal significant differences, matching studies involving dysphonic patients. Both groups use an elevated number of coping strategies for vocal problems: the first group presented mean raw scores of 65,75 and the second group, 59,22. Conclusion:The comparison between subjects submitted to supracricoid laryngectomy and total laryngectomy does not evidence differences concerning the self-assessment of voice, vocal handicap and coping strategies to deal with vocal problems. Both groups use more than the double of coping strategies for vocal problems, with a predominant focus on emotion.

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“…The time up to the development of recurrence does not only depend on the tumor biology, but also on different parameters of primary therapy such as for example the radiation dose. The majority of recurrences occurs within the first 2 years after primary treatment; recurrences developing within the first 10 months after primary treatment are associated with a particularly poor prognosis [188]. Curative treatment options for recurrences and residual tumors after primary radio(chemo)therapy are total laryngectomy, open partial laryngectomy and transoral (laser) surgery, while worldwide total laryngectomy is most frequently performed in cases of recurrences [189], [190].…”

Section: Therapy Of Recurrences After Primary Radio(chemo)therapymentioning

confidence: 99%

Evidence and evidence gaps of laryngeal cancer surgery

Wiegand

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc03

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Oncologic results of the surgical salvage of recurrent laryngeal squamous cell carcinoma in a multicentric retrospective series: Emerging role of supracricoid partial laryngectomy

Abstract: Supracricoid operations, if the indications are careful, can prove reliable salvage procedures.

Cited by 46 publications

References 40 publications

Subtotal supracricoid laryngectomy: changing in indications, surgical techniques and use of new surgical devices

Subtotal supracricoid laryngectomy: changing in indications, surgical techniques and use of new surgical devices

Desvantagem vocal e estratégias de enfrentamento nas disfonias após laringectomias

Evidence and evidence gaps of laryngeal cancer surgery

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