Comparison between open partial laryngectomy with tube-free tracheostomy and total laryngectomy for hypopharyngeal cancer with cartilage invasion

Ching Feng Lien, Chih Chun Wang, Tzer Zen Hwang*, Ching Feng Liu, Bor-Shyh Lin, Hsu Huei Weng, Chih Yi Liu

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The present study aimed to identify a feasible treatment strategy for hypopharyngeal cancer (HPC) with non-extensive invasion of the thyroid and/or cricoid cartilage. Between June 2008 and December 2014, patients with previously untreated HPC invading cartilage who had received either open partial laryngectomy (OPL) with tube-free tracheostomy or total laryngectomy (TL) with permanent tracheostomy and an artificial larynx (pneumatic tube) were retrospectively reviewed. The patients with extensive cartilage invasion and those with inoperable or T4b disease were excluded for OPL. Outcomes and quality of life were compared between the two treatment modalities. A total of 44 patients were included. The survival rates, complications, and Dysphagia Score were compared between the two treatment modalities. The outcome of the Voice Handicap Index (P=0.032), understandability of speech (P<0.001), normalcy of diet (P=0.041), senses (P=0.006), speech (P<0.001) and social contact (P=0.004) were significantly improved in the group receiving OPL compared with the group receiving TL. Therefore, OPL with tube-free tracheostomy may be a feasible option to treat patients with HPC with non-extensive invasion of the thyroid and/or cricoid cartilage.

Original languageEnglish
Pages (from-to)4961-4969
Number of pages9
JournalOncology Letters
Volume16
Issue number4
DOIs
StatePublished - 1 Oct 2018

Keywords

  • Cricoid cartilage
  • Hypopharyngeal cancer
  • Partial laryngectomy
  • Quality of life
  • Thyroid cartilage
  • Tube-free tracheostomy

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