Frontoanterior supracricoid laryngectomy with epiglottoplasty

Abstract

Objectives: In this study, we aimed to investigate the efficacy and safety of a modified technique, namely frontoanterior supracricoidlaryngectomy (FASCL) with epiglottoplasty.Patients and Methods: A total of eight male patients (mean age 55 years; range, 53 to 68 years) with glottic cordo-commissuralcancer underwent FASCL with epiglottoplasty between 2007 and 2018. Oncologic safety was ensured through the whole thyroidcartilage resection in the form of supracricoid partial laryngectomy (SCPL). Early laryngeal rehabilitation was given to all patientspostoperatively.Results: Five patients were in Stage T1a-b and three patients were in Stage T2. Five patients with Stage T1a-b cordo-commissuralcancer underwent FASCL with bilateral cordectomy. The postoperative period was uneventfully in all patients with early decannulationand nasogastric tube removal took place on the second postoperativ day. Functional rehabilitation duration of Stage T2 cancer wasslightly prolonged due to wider endolaryngeal resection. In three patients staged T2 cordocommisural cancer decannülation wasperformed after 4 days and nasogastric tube was removed within the first weak du to larger endolaryngeal tissu resection in this stage.Conclusion: Our study results suggest that this modified technique followed by early laryngeal rehabilitation yields satisfactorypostoperative laryngeal functions. In the laryngeal reconstruction, preservation of the thyroid's external framework maintenanceof laryngeal situation and glottic reconstruction play the most important rol for functional rehabilitation. Total resection of thyroidcartilage provide oncological safety of this technique. Removal of the thyroid cartilage resection does not cause any laryngealfunctional rehabilitation problem in the neo larynx.