¸ñÀû: The aim of this study was to evaluate the oncologic, functional outcomes
and long-term result of laryngeal squamous cell carcinomas treated
patients who underwent supracricoid partial laryngectomy (SCPL). ¹æ¹ý:Data from 153 glottic cancer patients who received SCPL at Seoul St.
Mary's Hospital from 1993 to 2020 were prospectively analyzed. The
extended type was performed on 32 patients and the unextended type on 12
patients. CHEP was performed on 11 patients and CHP was performed on 4
patients. The oncologic and functional outcomes of these patients were
investigated and analyzed. °á°ú:The NG tube removal time after surgery was 26.1 days for nonextended
type and 31.3 days for extended type (p=0.25). The decannulation time
was 22.0 days and 37.7 days (p=0.05). The history of PEG was seen in
15 patients (9.8%). 5 patients over age 70 had a PEG (16%), and 10
patients under age 70 (8%) experienced a PEG. Aspiration pneumonia was
experienced by 16 patients (10%). 8 patients (26%) over age 70, and 8
patients (6.5%) under age 70. The study subjects showed a socially
serviceable voice after surgery. The 5-year survival rate was 82% for
unextended type and 80% for extended type (p=0.09). The entire 3-
year/5-year DFS was 87% and 84%. The DFS according to T stage, 67%/65%
for T3 (n=43), 75%/62% for T4 (n=32). Advanced T stage (p=0.03),
Paraglottic space invasion (p=0.001), Perineural invasion (p=0.001),
Lymphatic invasion (p=0.007), Extranodal extension (p=0.02)
significantly contributed to 5-year survival rate. °á·Ð:In the case of SCPL, the outcome was oncologic and functionally
excellent. Both PEG and aspiration pneumonia show age dependency, and
it is thought to show a more distinct association with aspiration
pneumonia. The disease free survival rate was lower in the advanced
stage. Advanced T stage, paraglottic space invasion, perineural
invasion, lymphatic invasion and extranodal extension were found to be
factors affecting the 5-year survival rate. |