RT Journal Article
SR Electronic
T1 Long-term outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy and its modified version
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 282
OP 287
VO 34
IS 3
A1 Maoxiao, Yan
A1 Renyu, Lin
YR 2013
UL http://smj.org.sa/content/34/3/282.abstract
AB OBJECTIVE: To investigate the long-term outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP) and its modified version, in which we reserve the poster inferior borders of both thyroid cartilage laminas to protect swallowing function.METHODS: This retrospective survival analysis was performed in 86 patients, wherein 46 undergoing CHEP and 40 undergoing modified CHEP. Their decannulation data were reviewed. We used swallowing quality-of-life questionnaire to measure the quality-of-life in 53 of the 65 survivals at the end of the follow-up period in 2011. Of the 53 patients, 24 underwent CHEP, while the remaining by modified CHEP.RESULTS: The log rank test showed no significant difference in survival distributions of 2 the groups (p=0.92). The decannulation rate was 93.5% in CHEP and 100% in modified CHEP, showing no significant difference. The time span of decannulation in CHEP was 19.0+/-4.6 days, significantly longer than (14.0+/-2.3 days) the modified CHEP (p=0.000). As to quality-of life data, one-way multivariate analysis of variance, revealed a significant multivariate main effect for groups (p=0.001), and significant univariate main effects in 5 scales out of 11 (p<0.05), which showed a better swallowing life quality in modified CHEP.CONCLUSION: There was no significant difference in survival rate between the 2 surgeries. The modified CHEP succeeded in earlier decannulation and better long-term swallowing life quality. Thus, modified CHEP is worth promoting, as long as indications were strictly conformed.