Results after supracricoid horizontal partial laryngectomy

Gonçalves, Antônio José; Bertelli, Antônio Augusto Tupinambá; Malavasi, T.R.; Kikuchi, Wataru; Rodrigues, Andrea Nicole; Menezes, Marcelo Benedito

doi:10.1016/j.anl.2009.04.015

Cited by 17 publications

(30 citation statements)

References 16 publications

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“…technique consisting of an en-bloc resection of the thyroid cartilage, along with the paraglottic and preepiglottic space starting at the cricoid cartilage and continuing to base of the epiglottis [3][4][5][6] . SCPL has two subtypes in terms of reconstruction type: cricohyoidoepiglottopexy (CHEP) and cricohyoidopexy (CHP) [6] .…”

Section: Supracricoid Partial Laryngectomy (Scpl) Is Amentioning

confidence: 99%

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Bilici

Kaan

Ozgur

et al. 2017

JOA

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ObjectivesThe aim of this study was to compare the functional outcomes (including swallowing, respiration and phonation) of supraglottic horizontal laryngectomy (SGHL) and supracricoid partial laryngectomy (SCPL). MethodsThe clinical and pathological data were evaluated for 36 previously untreated patients who were diagnosed ResultsThe SGHL group contained 15 patients and the SCPL group contained 21 patients (14 cases of cricohyoidoepiglottopexy (CHEP) and 7 cases of cricohyoidopexy (CHP)). The mean age of the subjects was 57.4 years in the SGHL group, and 59.7 in the SCPL group. Patients in the SGHL group were decannulated after 65.2 days, whereas the average decannulation time was 72.6 days in the SCPL group. This difference in decannulation time between the groups was not statistically significant (p>0.05). The mean hospitalisation time was 23 days, with no statistically significant difference between the groups (>0.05). The nasogastric tube was removed from the patients after 37.9 days in the SGHL group and after 35.8 days in the SCPL group. No statistically significant difference was determined in the time to start feeding between the groups (p>0.05).Surgical wound infection, the occurrence of pharyngo-cutaneous fistulas and rupture of the pexy sutures were complications. ConclusionFunctional outcomes of SCPL were similar to those of patients who underwent SGHL. The preservation of the hyoid bone is the most important consideration for preserving the swallowing function.

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Section: Supracricoid Partial Laryngectomy (Scpl) Is Amentioning

confidence: 99%

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Bilici

Kaan

Ozgur

et al. 2017

JOA

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“…It is noteworthy that great part of the questionnaires for quality of life comprise questions regarding the patient's general health state. Furthermore, specific protocols for head and neck cancer have a greater detailing of the aspects more often affected by the disease, enabling to dimension such impact on patient's quality of life 10 . It important to stress that the assessment of quality of life of patients in early stages is different than those in more advanced stages of the disease.…”

Section: Qvv = Protocolo De Qualidade De Vida Emmentioning

confidence: 99%

“…Some authors defend that the decanulation time 1,26,36 , the concomitance with adjuvant therapies such as radiotherapy 6,10,11,37 , the patient age 5,8,9,38 , and the performance of cervical esvaziation 11 are factors that influence on general quality of life, affecting emotional and socials aspects 12,16 . Early decanulated patients are more satisfied with their quality of life than those who remained with the tracheostomy for a long period of time 11,13,26,38 , since besides affecting directly the feeding and increasing the permanence in hospital 35 , the presence of the tracheal cannula affects significantly the voice, contributing for a difficulty in the speech intelligibility with a consequent prejudice in social communication¹.…”

Section: Sewnaikmentioning

confidence: 99%

“…Concerning the voice, there is a divergence of opinions 36 , since some authors defend that, in general, patients declare satisfaction with their own voice 35 , with little difficulty to speak in public and with an intelligible communication 2,10,34,39 even if the voice is weak and if there is some difficulty to communicate in noisy environments, once it cannot be increased satisfactorily 35,36,38,39 . Some defend that communication was the most affected domain, with lower quality of life 11 .…”

Section: Referencesmentioning

confidence: 99%

“…Several literature reports show local control, low recurrence rate 5,[7][8][9][10] and survival rates similar to TL [1][2][3] , besides allowing the nonuse of permanent tracheostomy, which enables the oral feeding, voice preservation and social functions, providing a better quality of life 5,6,[11][12][13][14] . Thus, the SPL justifies itself as an alternative of great value once it allows the maintenance of voice without the use of any device and without training 15 .…”

Section: Introductionmentioning

confidence: 99%

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Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

Oliveira

Marialva

2016

Rev. CEFAC

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Supracricoid Partial Laryngectomy (SCPL) is indicated for treatment of tumors staging 1 and 2, and some cases of advanced tumors. It is considered by literature as presenting satisfactory results for both, preservation of larynx and its functionality. This study aimed a systematic review of literature on voice related quality of life in patients submitted to SCPL, identifying protocols of quality of life regarding head and neck cancer. The following database was consulted for the systematic exploratory literature review: MEDLINE, SCIELO, LILACS; PUBMED. Portuguese, English and Spanish-language descriptors (DeCS) were used. The selection of articles followed inclusion criteria for Relevance Test appliance. This literature review revealed that the protocols used specifically with oncologic patients of head and neck, were mainly EORTC-C30/H&N35, UW-QOL and HNQOL. The SCPL even though to be considered a surgery that allows the preservation of swallowing and phonation functions is pointed as having the possibility of remaining complaints in such functions. Literature affirms that patients were satisfied with their own voice, having little difficulty in order to communicating in a intelligible way. Studies report patients with breathing difficulties after SCPL, including obstructive sleep apnea. It was concluded further researches aiming at pointing the difficulties resultant from SCPL and using more specific head and neck protocols are necessary, which may better reveal the impact of SCPL on quality of life. Keywords: Voice; Dysphonia; Head and Neck Neoplasms; Laryngectomy; Quality of Life RESUMO A Laringectomia Parcial Supracricóide (LPSC) é indicada para tratamento de tumores com estadiamento1 e 2 e certos casos de tumores avançados. É considerada pela literatura como apresentando resultados satisfatórios em ambas situações, preservação da laringe e funcionalidade. Este estudo tem como objetivo rever de forma sistemática a literatura voltada para qualidade de vida em voz de pacientes submetidos a LPSC, identificando-se os protocolos de qualidade de vida em câncer de cabeça e pescoço. Para a revisão de literatura sistemática exploratória foram considerados os seguintes bancos de dados: MEDLINE, SciELO, LILACS; PubMed. Utilizados descritores em português, inglês e espanhol. A seleção dos artigos seguiu critérios de inclusão, para aplicação de teste de Relevância. Esta revisão de literatura revelou que os protocolos específicos para pacientes oncológicos de cabeça e pescoço mais utilizados são o EORTC-C30/H&N35, UW-QOL e HNQOL. A LPSC embora seja considerada uma cirurgia que vise à preservação das funções de deglutição e fonação é apontada como tendo possibilidade de permanência de queixas em tais funções. A literatura afirma que os pacientes se declaram satisfeitos com a própria voz, tendo pouca dificuldade para se comunicar de forma inteligível. Estudos relacionam pacientes com dificuldades respiratórias após LPSC, inclusive com apneia obstrutiva do sono. Conclui-se que ha necessidade de mais pesquisas que v...

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Supracricoid laryngectomy and dysphagia: A systematic literature review

et al. 2015

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A high incidence of dysphagia was reported after supracricoid laryngectomy. However, good recovery rates were observed with low incidence of severe complications. The included studies used different methods and standards to start oral intake, remove the nasogastric feeding tube, and observe swallow function. Homogenous study population and standardized guidelines on how to handle the pre- and postoperative course after supracricoid laryngectomy and how to measure swallow function could improve further research.

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Results after supracricoid horizontal partial laryngectomy

Cited by 17 publications

References 16 publications

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

Supracricoid laryngectomy and dysphagia: A systematic literature review

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