Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 27-33, March 2003

Supracricoid partial laryngectomy with cricohyoidopexy

  • Duane A. Sewell, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Duane Sewell, University of Pennsylvania, 323 Johnson Pavilion, 3610 Hamilton Walk, Philadelphia, PA 19104.

From the Department of Otolaryngology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

Abstract 

The supracricoid partial laryngectomy (SCPL) with cricohyoidopexy (CHP) is an alternative to total laryngectomy in the treatment of selected glottic and supraglottic cancers. It consists of the resection of the true cords, false cords, thyroid cartilage and epiglottis, while the cricoid cartilage and at least one of the two arytenoid cartilages are spared. Reconstruction is performed by securing the cricoid cartilage to the hyoid bone. Careful patient selection is of paramount importance for the success of this procedure. In general, the indications for SCPL with CHP include selected supraglottic and glottic tumors that do not involve the subglottis or the arytenoid cartilages. When properly performed, the speech and swallowing function is preserved in a high percentage of patients. The specific indications and the surgical technique are presented here.

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PII: S1043-1810(03)90038-8

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 27-33, March 2003

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