Supracricoid Laryngectomy: Siriraj’s Experience

Abstract

Objective: To evaluate the initial functional outcomes of laryngeal cancer patients who underwent supracricoid laryngectomy (SCL) in Siriraj Hospital. Materials and Methods: A retrospective review of patients who underwent SCL with cricohyoidoepiglottopexy or cricohyoidopexy for glottic and supraglottic squamous cell carcinoma in the Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital between 2000 and 2020. Results: Twenty-two patients underwent SCL. Twenty patients who met the criteria were recruited for the present study. The initial functional results from the T1 and T2 glottic or transglottic cancers in terms of time to decannulation, at 11 days, and time to nasogastric tube removal, at 16 days were achieved. Conclusion: SCL is one of surgical options to treat early laryngeal cancer in cases that were not suitable for conventional conservation laryngeal surgery, translaryngeal laser microsurgery, and cases that failed radiotherapy. This surgical technique could also be an alternative choice for certain advanced laryngeal cancers to avoid total laryngectomy.