2008 Volume 20 Issue 2 Pages 68-71
Ten years have elapsed since we employed our first supracricoid laryngectomy with cricohyoidoepiglottopexy (SCL-CHEP) in 1997. We conducted a clinicopathological analysis using 40 surgical specimens obtained between 1997 and 2007. Surgical margins were evaluated at anterior, inferior, superior, and inferior ends and found to be sufficient. Only the inferior ends had minimum margins and the risk for positive margins. Of the 40 patients examined, 4 died of disease, 2 died of other causes, and 34 were alive without disease (average follow-up duration was 36 months). The locoregional recurrence rate was 5%.
We confirmed the stable oncological results based on the current study. In particular SCL-CHEP proved to be capable of sufficiently removing the paraglottic space. For the tumors with profound ulceration in the subglottic region, meticulous effort must be made to properly assess the tumor extention.
