Four Cases of Supracricoid Partial Laryngectomy with Cricohyoido-epiglotto-pexy or Cricohyoido-pexy

Abstract

We experienced four cases of supracricoid partial laryngectomy with cricohyoido-epiglotto-pexy (SCL-CHEP) or Cricohyoido-pexy (SCL-CHP) for laryngeal carcinoma in our department from 2007 to 2009. Three patients had SCL-CHEP after radiation failure and one patient had SCL-CHP without pre-treatment. The complication with SCL was a subglottic granuloma in one patient leading to re-operation. All of the patients retained normal deglutition and had successful tracheostomy tube decannulation. We concluded SCL-CHEP and SCL-CHP are safe surgical approaches allowing conservation of laryngeal function especially in selected recurrences after irradiation failures of a glottis carcinoma.