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Table 2 Postoperative success and complications of SCPL with CHEP in post-radiotherapy recurrences.

From: Supracricoid partial laryngectomy with cricohyoidoepiglottopexy in patients with radiation therapy failure

Reference (no. of cases)

Mean decannulation (range) days

Mean deglution (range) days

Mean hospital stay (range) days

No. of complications

Comments

(12)[11]

15 (3-30)

30 days in 6 patients

-----

Arytenoid edema (5)

Laryngeal stenosis (2)

Perichondritis (2)

Neck abscess (2)

Aspiration pneumonia (1)

Five patients with temporal swallowing difficulties,

PEG for 2-6 months

(45, CHEP 15)[14]

---

12

-----

Failure of decannulation (6).

Perichondritis and permanent stenosis (2).

 

(23)[16]

24

21 (9-45)

26

Aspiration pneumonia (4).

Partial necrosis of pexy (1).

Cutaneous necrosis (1)

Four patients (17%) with significant swallowing problems, one patient with NTF for 96 days. One patient PEG. Two died due to aspiration pneumonia.

(9, CHEP

6)[18]

11

27

34

Partial RP (1)

CWI (2)

Fistula and CWI(1)

Seroma (1)

One patient was decannulated during hospital admission but a tracheotomy was repeated 3 months after surgery due to edema of laryngeal mucosa. The patient died 15 days later as a consequence of a massive cervical hemorrhage secondary to the erosion of the brachiocephalic artery

(21, CHEP 4)[19]

8.5

 

30

Abscess & P (1)

GI bleeding (1)

One patient died at 9 days due to GI bleeding and AMI

(8)Current series

16 (3-56)

16 (3-60)

10 (7-19)

Arytenoid edema (4),

Tracheostomy infection (2), RP (1)

1 patient required PEG for 2 years due to aspiration. Total laryngectomy due to RP

  1. Modified from Motamed M. et al., Laryngoscope 2006;116:451-5. SCPL = supracricoid partial laryngectomy; CHEP = cricohyoidoepiglottopexy, PEG = percutaneous endoscopy gastrostomy; NFT = nasogastric feeding tube; AMI = acute myocardial infection; GI = gastrointestinal; CWI = cervical wound infection, RP = Rupture of the pexy.