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Ollivier Laccourreye, MD; Daniel Brasnu, MD; Agnes Merite-Drancy, MD; Régis Cauchois, MD; Eric Chabardes, MD; Madeleine Ménard, MD; Henri Laccourreye, MD

Arch Otolaryngol Head Neck Surg. 1993;119(8):881-886.

Abstract
• Nineteen patients who presented with infrahyoid epiglottic squamous cell carcinoma with gross pathological preepiglottic space invasion, not amenable to a partial horizontal supraglottic laryngectomy, were offered a supracricoid partial laryngectomy with a cricohyoidopexy technique; this was an attempt to preserve physiological phonation, respiration, and deglutition while achieving the same local control rate as with a total laryngectomy. Preoperative chemotherapy and bilateral jugulocarotid lymph node dissection were performed in all cases. Patients were monitored for at least 5 years or until death. No patients were unavailable for follow-up. The 5-year actuarial survival (Kaplan-Meier method) was 84.2%. Local recurrence, nodal recurrence, and distant metastasis occurred once in our series, while six patients presented with a second primary tumor. We present, analyze, and compare functional results with those of the previously reported series. Our experience with the supracricoid partial laryngectomy with a cricohyoidopexy, in the face of selected infrahyoid epiglottic squamous cell carcinoma invading the preepiglottic space, not amenable to a partial horizontal supraglottic laryngectomy, suggested that a total laryngectomy might be avoided without decreasing the cure rate.

(Arch Otolaryngol Head Neck Surg. 1993;119:881-886)

Author Affiliations
From the Department of Otolaryngology, Head and Neck Surgery, Hôpital Laënnec, University of Paris V (France).

Footnotes
Accepted for publication December 15, 1992.

Presented at the Third International Conference on Head and Neck Cancer, San Francisco, Calif, July 28, 1992.

Reprint requests to Department of Otolaryngology, Head and Neck Surgery, Hôpital Laënnec, University of Paris V, 42 rue de Sèvres, 75007 Paris, France (Dr O. Laccourreye).

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