Role of supracricoid partial laryngectomy with cricohyoidoepiglottopexy in glottic carcinoma with anterior commissure involvement

Pescetto, B.; Gal, Jocelyn; Chamorey, Emmanuel; Dassonville, O.; Poissonnet, G.; Bozec, A.

doi:10.1016/j.anorl.2018.05.004

Cited by 16 publications

(10 citation statements)

References 28 publications

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“…Overall, our survival outcomes and surgical complication rates are in line with those reported in the literature, confirming the feasibility, efficacy, and reproducibility of OPHLs [3,20,25,38,39,40]. In a systematic review on OPHL for LC including all T categories, Thomas et al [41] reported a 2-year OS and DSS of 79.7% ( N = 3964) and 84.8% ( N = 2344), respectively.…”

Section: Discussionsupporting

confidence: 87%

Open Partial Horizontal Laryngectomies for T3–T4 Laryngeal Cancer: Prognostic Impact of Anterior vs. Posterior Laryngeal Compartmentalization

Bon

Piazza

Lancini

et al. 2019

Cancers

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Open partial horizontal laryngectomies (OPHLs) are well-established and oncologically safe procedures for intermediate–advanced laryngeal cancers (LC). T–N categories are well-known prognosticators: herein we tested if “anterior” vs. “posterior” tumor location (as defined in respect to the paraglottic space divided according to a plane passing through the arytenoid vocal process, perpendicular to the ipsilateral thyroid lamina) may represent an additional prognostic factor. We analyzed a retrospective cohort of 85 T3–4a glottic LCs, treated by Type II or III OPHL (according to the European Laryngological Society classification) from 2005 to 2017 at two academic institutions. Five-year overall survival (OS), disease-specific survivals (DSS), and recurrence-free survivals (RFS) were compared according to tumor location and pT category. Anterior and posterior tumors were 43.5% and 56.5%, respectively, 78.8% of lesions were T3 and 21.2% were T4a. Five-year OS, DSS, and RFS for T3 were 74.1%, 80.5%, and 63.4%, respectively, and for T4a 71.8%, 71.8%, and 43%, respectively (p not significant). In relation to tumor location, the survival outcomes were 91%, 94.1%, and 72.6%, respectively, for anterior tumors, and 60.3%, 66.3%, and 49.1%, respectively, for posterior lesions (statistically significant differences). These data provide evidence that laryngeal compartmentalization is a valid prognosticator, even more powerful than the pT category.

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Section: Discussionsupporting

confidence: 87%

Open Partial Horizontal Laryngectomies for T3–T4 Laryngeal Cancer: Prognostic Impact of Anterior vs. Posterior Laryngeal Compartmentalization

Bon

Piazza

Lancini

et al. 2019

Cancers

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“…37 We had comparable results for both OPHL II and FLPL for cT1b cases and, although some authors have even proposed a modified version of FLPL without the need of a tracheostomy, 38 for us and for other groups, horizontal OPLS constitute instead the principal choice because of fewer complications (neolaryngeal stenosis in particular). 39 In addition, from the oncological point of view, full-thickness thyroid cartilage involvement (ie, pT4 stage) is one of the most frequent pitfall in radiological staging and in OPHL II, but not in FLPL, the whole “thyroid box” is removed. 8 In brief, while nowadays TLM constitutes the first choice for cT1b LC with fewer complications and shorter length of stay compared to open procedures, insufficient transoral exposure (encountered in almost 10% of cases in a recent paper) 40 should prompt surgeon to offer OPLS as an oncologically valid option.…”

Section: Discussionmentioning

confidence: 99%

Survival Outcomes and Prognostic Factors of Open Partial Laryngeal Surgery: A Thirty Years’ Experience

Gallo

Cannavicci

Bruno

et al. 2020

Ann Otol Rhinol Laryngol

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Background: Open partial laryngeal surgery (OPLS) represents a wide array of procedures that can be fitted to treat different types of laryngeal cancer (LC). We would like to present our 30-years’ institutional experience, to analyze survival outcomes and to critically discuss prognostic factors. Methods: We reviewed all cases of OPLS performed at our Institution from 1982 to 2016 for LC. Survival analysis by Kaplan–Meier estimate was performed and prognostic variables by multivariate analysis were identified. Results: Mean follow-up time was 68.3 months, 30-day mortality 0.2%, subsequent functional total laryngectomy (TL) was 1.01%. Over 80% of cases were stage I to II. We had 25 local, 62 regional and eight distant recurrences. Local control was 94.9%, overall survival (OS) was 83.4% and disease-specific survival (DSS) was 87.7%. The two major risk factors significantly associated with the risk of death were cT and cN stage. CONCLUSIONS: We have confirmed that OPLS represents an oncologically sound option in the treatment of LC despite the emergence of non-surgical strategies and new transoral mininvasive techniques. Our results highlight that accurate staging, correct selection of the patient and a strong surgical expertise are of paramount importance in this type of surgery.

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“…Eight articles assessed the oncological outcome of OPHL type II combined with adjuvant radiotherapy [8,13,[22][23][24][25][26][27] (Table 3). Overall, adjuvant RT proved to be adequate for: positive resection margin, thyroid cartilage invasion (stage T4a), positive neck nodes with extracapsular invasion, multiple nodal metastases, following the National Comprehensive Cancer Network (NCCN) [28] guidelines.…”

Section: Adjuvant Radiotherapy After Primary Ophl Type IImentioning

confidence: 99%

Oncological Outcomes of Primary vs. Salvage OPHL Type II: A Systematic Review

Saraniti

Verro

Ciodaro

et al. 2022

IJERPH

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Background: Open partial horizontal laryngectomy type II (OPHL type II) has two main aims: oncological radicality and laryngeal preservation. The aim of this review is to define and emphasize the oncological efficacy of OPHL type II, both as primary and salvage surgery, by analyzing the latest literature. Methods: The research was carried out on Pubmed, Scopus and Web of Science databases, by using strict keywords. Oncological outcomes were evaluated by the following parameters: overall survival, disease-specific survival, disease-free survival, local control, laryngeal preservation, local recurrence. Results: The review included 19 articles divided into three groups: (1) primary OPHL type II, (2) salvage OPHL type II, (3) adjuvant radiotherapy after primary OPHL type II. The articles showed excellent results as far as oncological radicality and organ preservation. Conclusions: This review demonstrated that OPHL type II is useful to obtain oncological radicality both as primary surgery and salvage surgery. Nevertheless, the only criterion that determined the positive outcome and efficacy of this technique is the strict selection of patient and tumor.

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Role of supracricoid partial laryngectomy with cricohyoidoepiglottopexy in glottic carcinoma with anterior commissure involvement

Cited by 16 publications

References 28 publications

Open Partial Horizontal Laryngectomies for T3–T4 Laryngeal Cancer: Prognostic Impact of Anterior vs. Posterior Laryngeal Compartmentalization

Open Partial Horizontal Laryngectomies for T3–T4 Laryngeal Cancer: Prognostic Impact of Anterior vs. Posterior Laryngeal Compartmentalization

Survival Outcomes and Prognostic Factors of Open Partial Laryngeal Surgery: A Thirty Years’ Experience

Oncological Outcomes of Primary vs. Salvage OPHL Type II: A Systematic Review

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