caa a22 4500 388083948 CHVBK 20180307125225.0 cr unu---uuuuu 161130e199906 xx s 000 0 eng 10.1017/S0022215100144421 doi S0022215100144421 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100144421 Cricohyoepiglottopexy: long-term results in 55 patients [Elektronische Daten] Near total laryngectomy with cricohyoepiglottopexy (CHEP) allows cure of glottic carcinomas with voice preservation. The subject of this study was to evaluate CHEP in terms of tumour control and functional result in T1 and T2 glottic carcinomas. This study reviewed retrospectively 55 consecutive cases of CHEP performed between January 1, 1981 and September 1, 1992 with the exclusion of post-radiotherapy salvage surgery. CHEP was indicated for a T1a limit to the anterior commissure and/or with dysplasia of the other vocal fold (10 cases), T1b (11 cases) and T2 (34 cases) glottic carcinomas. All our patients have a follow-up of more than five years. The post-operative course after this surgery was generally uneventful. The median time to decannulation was 18 days, to removal of the nasogastric tube was 15 days and to discharge from hospital was 23 days. No significant difference was observed according to the preservation of one or both arytenoid cartilages. The long-term functional result can be considered to be good in three-quarters of cases, with normal oral swallowing and an easily understood voice. The remaining one quarter had a whispery voice and sometimes episodes of aspiration when swallowing liquids. In terms of oncological results, the five-year recurrence-free survival rate was 94 per cent for T1 and 84 per cent for T2. The ultimate tumour control (taking into account four cases of total laryngectomy) was 94 per cent for T1 and 93 per cent for T2. Primary surgery by CHEP therefore appears to be a good option for early glottic carcinomas. The main problem remains that voice recovery is mediocre in one quarter of patients. Copyright © JLO (1984) Limited 1999 Glottis nationallicence Squamous cell carcinoma nationallicence Surgery nationallicence Survival rate nationallicence Voice quality nationallicence Deglutition disorders nationallicence Lallemant J. G. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France. Bonnin P. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France. El-Sioufi I. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France. Bousquet J. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France. The Journal of Laryngology & Otology Cambridge University Press 113/6(1999-06), 532-537 0022-2151 113:6<532 1999 113 JLO https://doi.org/10.1017/S0022215100144421 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100144421 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lallemant J. G. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France NATIONALLICENCE 700 1- Bonnin P. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France NATIONALLICENCE 700 1- El-Sioufi I. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France NATIONALLICENCE 700 1- Bousquet J. Department of Otorhinolaryngology and Medical Information, Gaston Doumergue Hospital, Nimes, France NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/6(1999-06), 532-537 0022-2151 113:6<532 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge