Ganina Ch.A., Makhonin A.A., Vladimirova T.Yu., Chemidronov S.N., Ghukasyan I.M. Supracricoid partial laryngectomy for advanced laryngeal cancer. Head and neck. Russian Journal. 2021;9(2):78–84 (In Russian).
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Current trends in the treatment of laryngeal cancer are mainly focused not only on a good oncological result, but also on the preservation of function. This goal can be achieved through the use of open surgery to save the larynx, which is currently mainly represented by OPHL (open partial horizontal laryngectomy), and one of the most common options is SCPL (supracricoid partial laryngectomy). The approach based on strict selection criteria, based on both the general condition of the patient, can be applicable not only in the initial stages of the disease, but also in the common ones, while giving excellent oncological and functional results in patients. The future direction is represented by the simplification of indications that define subcategories within the stage of the disease, wider possibilities of rehabilitation.
A clinical case of laryngeal cancer in a 60-year-old man who complained of hoarseness within 5 months is presented. The patient underwent a complete clinical and instrumental examination. The histological conclusion: squamous cell carcinoma. Taking into account the prevalence and localization of the tumor, as well as the absence of contraindications, the patient underwent surgical treatment – supracricoid partial laryngectomy. 11 months after the operation, according to the examination, the patient has no data for the relapse and progression of the disease, and the patient also breathes through the natural airways, talks and takes food through the mouth. The use of the SCPL as a surgical approach can be considered a reasonable and effective choice for selected patients with a diagnosis of laryngeal cancer. A literature review and our case show comparable oncological and favorable functional outcomes. However, the possibility of performing surgery as a life-saving treatment for laryngeal cancer is only possible in a select few patients.
Key words: laryngeal cancer, partial laryngectomy, supracricoid laryngectomy
Conflicts of interest. The authors have no conflicts of interest to declare.
Funding. There was no funding for this study.