Four Cases of Supracricoid Partial Laryngectomy with Cricohyoido-epiglotto-pexy or Cricohyoido-pexy

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  • Ishinaga Hajime
    Department of Otorhinolaryngology-Head & Neck Surgery, Mie University Graduate School of Medicine
  • Otsu Kazuya
    Department of Otorhinolaryngology-Head & Neck Surgery, Mie University Graduate School of Medicine
  • Yuta Atsushi
    Department of Otorhinolaryngology-Head & Neck Surgery, Mie University Graduate School of Medicine
  • Takeuchi Kazuhiko
    Department of Otorhinolaryngology-Head & Neck Surgery, Mie University Graduate School of Medicine

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  • Ｓｕｐｒａｃｒｉｃｏｉｄ　ｐａｒｔｉａｌ　ｌａｒｙｎｇｅｃｔｏｍｙ　ｗｉｔｈ　Ｃｒｉｃｏｈｙｏｉｄｏ－ｅｐｉｇｌｏｔｔｏ－ｐｅｘｙとＣｒｉｃｏｈｙｏｉｄｏ－ｐｅｘｙを施行した４症例の検討
  • Supracricoid partial laryngectomy with Cricohyoido epiglotto pexy ト Cricohyoido pexy オ シコウ シタ 4 ショウレイ ノ ケントウ

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Abstract

We experienced four cases of supracricoid partial laryngectomy with cricohyoido-epiglotto-pexy (SCL-CHEP) or Cricohyoido-pexy (SCL-CHP) for laryngeal carcinoma in our department from 2007 to 2009. Three patients had SCL-CHEP after radiation failure and one patient had SCL-CHP without pre-treatment. The complication with SCL was a subglottic granuloma in one patient leading to re-operation. All of the patients retained normal deglutition and had successful tracheostomy tube decannulation. We concluded SCL-CHEP and SCL-CHP are safe surgical approaches allowing conservation of laryngeal function especially in selected recurrences after irradiation failures of a glottis carcinoma.

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