BACKGROUND: Our objective was to assess whether Supracricoid Laryngectomy with CricoHiodoEpiglottoPexy (CHEP) could successfully achive cure preserving voice in the treatment of glottic laryngeal cancer. METHODS: A retrospective analysis has been carried out between 1996 through 1999. We classified 18 patients as T2N0M0 and 32 patients as T3N0M0. Fourty one patients underwent selective bilateral lateral neck dissection, four had unilateral neck dissection and five patients had the neck undissected. Survival was analyzed under the Kaplan-Meyer method. RESULTS: Ten patients had postoperative complications, two treated with total laryngectomy. The remained 48 patients maintained normal airway, swallowing and speech. Three patients in the neck dissection group presented occult neck metastasis. Four patients had recurrences, three of them were local. Two patients treated with total laryngectomy are alive without disease, and another had advanced recurrence and died. One patient had neck recurrence and was treated with radical neck dissection plus radiotherapy and died from the disease. Two patients presented a second tumor in the oropharynx. One of them was treated with palliative radiotherapy and died and the other had surgical resection and is alive without disease. Three years disease free survival was 88% for T2 and 72% for T3. CONCLUSIONS: This technique is useful in the treatment of selected cases of T3/T2 glottic cancer, regarding the extension of the disease. The incidence of complications required completion laryngectomy which did not compromise the functionality of this technique. Survival is comparable to patients submitted to total laryngectomy and near-total laryngectomy, regarding the extension of the lesion.
Larynx; Cancer; Supracricoid; Laryngectomy; Squamous cell carcinoma; Partial laryngectomy
