Supracricoid partial laryngectomy with reconstruction: Technique, indications and outcomes at Hôpital Principal de Dakar

Abstract

OBJECTIVE: To report technique, indications and outcomes of supracricoid partial laryngectomy (SPL) with crico-hyoido-epiglottopexy (CHEP) or crico-hyoidopexy (CHP) for laryngeal cancers at Hôpital Principal de Dakar. MATERIALS AND METHODS: Retrospective study carried out from January 2009 to December 2016 in the ENT department of Hôpital Principal de Dakar including all patients who underwent SPL with reconstruction for laryngeal cancer. RESULTS: Six patients underwent SPL with CHEP or CHP for laryngeal squamous cell carcinoma. The lesions were classified as T1, T2 or T3. Functional outcomes were simple with normal swallowing and satisfactory voice quality. One patient presented with a local recurrence that motivated total salvage laryngectomy. CONCLUSION: SPL with reconstruction is a good alternative in the management of limited laryngeal cancers. It gives good oncological outcomes while preserving laryngeal functions. However, candidates must be selected and the technique rigorous. KEYWORDS: Cancer; Larynx; Partial laryngectomy; crico-hyoïdo-epiglottopexy; crico-hyoïdopexy.