caa a22 4500 606185143 CHVBK 20210128100830.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-014-3244-7 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3244-7 Attempt to improve functional outcomes in supracricoid laryngectomy in T2b and T3 glottic cancers [Elektronische Daten] [Małgorzata Leszczyńska, Małgorzata Wierzbicka, Maciej Tokarski, Witold Szyfter] The goal of this study was to compare the survival rate and functional outcome of an open partial horizontal laryngectomies, Type IIa and modified Type IIa (OPHL Type IIa and OPHL mType IIa), in treatment of moderately advanced glottic carcinoma. Retrospective analysis. 80 Patients underwent OPHL Type IIa and 27, OPHL modified Type IIa (OPHL mType IIa) between the years 2001 and 2009. Clinical staging was performed according to the UICC criteria (2002). Primary endpoints of study were recurrence rate, and 3- and 5-year survival time. Secondary endpoints were laryngeal functions: respiration, swallowing and voice. There were no significant differences within local and regional recurrence rates, organ preservation rate, 3- and 5-year specific disease survival rates between OPHL Type II and OPHL modified Type IIa. Significantly lower need for temporary (OPHL mType IIa 4/27, OPHL Type IIa 30/80) and permanent tracheostomy (OPHL mType IIa 2/27, OPHL Type IIa 16/80) was found. All but one patient (OPHL Type IIa) achieved unrestricted diet. Significantly differed social eating, this ability gained 25/27 OPHL mType IIa and 54/80 OPHL Type IIa (p<0.05). Voice handicap index revealed a decrease in quality of life in all areas; OPHL Type IIa and OPHL mType IIa differed significantly (31 and 46 points respectively, p<0.005). The MPT value (longest pitch) for OPHL Type IIa and OPHL mType IIa lasted 8s and 10, respectively (p<0.005). There was no significant difference in oncological outcomes between the two types of OPHL succeeded in the earlier extubation, thus significantly lowering the need for temporary and permanent tracheotomy and providing better long-term swallowing. Although the voice was altered in all observed OPHL patients, modified Type IIa technique proved to be superior to the Type IIa in terms of voice quality. Thus, OPHL modified Type IIa is worth promoting, as long as indications were strictly conformed. The Author(s), 2014 Supracricoid laryngectomy nationallicence Glottic cancer nationallicence Respiration nationallicence Voice nationallicence Swallowing nationallicence Leszczyńska Małgorzata Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut Wierzbicka Małgorzata Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut Tokarski Maciej Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut Szyfter Witold Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2925-2931 0937-4477 272:10<2925 2015 272 405 https://doi.org/10.1007/s00405-014-3244-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3244-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Leszczyńska Małgorzata Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut NATIONALLICENCE 700 1- Wierzbicka Małgorzata Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut NATIONALLICENCE 700 1- Tokarski Maciej Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut NATIONALLICENCE 700 1- Szyfter Witold Department of Otorhinolaryngology, Head and Neck Surgery, Poznań University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2925-2931 0937-4477 272:10<2925 2015 272 405