Complications and Functional Outcome after Supracricoid Partial Laryngectomy with Cricohyoidoepiglottopexy

DOI Web Site Web Site Web Site 被引用文献5件
  • Philippe Naudo
    Department of Otorhinolaryngology‐Head and Neck Surgery Laënnec Hospital Assistance Publique des Hôpitaux de Paris (AP‐HP) University Paris V Paris France
  • Ollivier Laccourreye
    Department of Otorhinolaryngology‐Head and Neck Surgery Laënnec Hospital Assistance Publique des Hôpitaux de Paris (AP‐HP) University Paris V Paris France
  • Gregory Weinstein
    Department of Otorhinolaryngology‐Head and Neck Surgery University of Pennsylvania Medical Center Philadelphia Pennsylvania
  • Véronique Jouffre
    Department of Otorhinolaryngology‐Head and Neck Surgery Laënnec Hospital Assistance Publique des Hôpitaux de Paris (AP‐HP) University Paris V Paris France
  • Henri Laccourreye
    Department of Otorhinolaryngology‐Head and Neck Surgery Laënnec Hospital Assistance Publique des Hôpitaux de Paris (AP‐HP) University Paris V Paris France
  • Daniel Brasnu
    Department of Otorhinolaryngology‐Head and Neck Surgery Laënnec Hospital Assistance Publique des Hôpitaux de Paris (AP‐HP) University Paris V Paris France

書誌事項

公開日
1998-01
権利情報
  • http://onlinelibrary.wiley.com/termsAndConditions#vor
DOI
  • 10.1016/s0194-5998(98)70388-2
公開者
Wiley

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説明

<jats:p>We present a review of the postoperative course, complications, and functional outcome of 190 patients consecutively treated with supracricoid partial laryngectomy with cricohyoidoepiglottopexy. The average times until removal of the tracheostomy and nasogastric feeding tubes were 9 and 16 days, respectively. The postoperative mortality rate was 1%. Major complications included pneumonia from aspiration, cervical wound infection, symptomatic laryngocele, ruptured pexis, laryngeal chondroradionecrosis, and laryngeal stenosis in 8.5%, 4.2%, 3.1%, 1%, 0.5%, and 0.5% of the patients, respectively. Completion total laryngectomy, permanent gastrostomy, and permanent tracheostomy were requested in 0.5% of the patients. Normal swallowing without gastrostomy and respiration without tracheostomy was achieved by the first postoperative year in 98.4% (187/190) of the patients. This article presents a univariate analysis of the potential correlation between various variables and the duration of tracheostomy and the length of time the nasogastric feeding tubes were inserted, the mortality incidence and causes, the incidence and type of the various complications, and the duration of hospitalization. Comparison of our data with the reported functional results after vertical partial laryngectomy suggested that supracricoid partial laryngectomy with cricohyoidoepiglottopexy does not result in an increased rate of postoperative complications.</jats:p>

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