Mid-term results of frontovertical partial laryngectomy for early glottic carcinoma with anterior commissure involvement

Acta Otolaryngol. 2014 Apr;134(4):407-12. doi: 10.3109/00016489.2013.872292. Epub 2014 Feb 10.

Abstract

Conclusion: Frontovertical partial laryngectomy is useful for treatment of T1 and T2 glottic squamous cell carcinoma with anterior commissure involvement.

Objective: To evaluate the efficiency of frontovertical partial laryngectomy for T1 and T2 glottic carcinoma with anterior commissure involvement.

Methods: This was a retrospective review of 58 cases of glottic squamous cell carcinoma with anterior commissure involvement (T1, n = 28; T2, n = 30) that were treated by frontovertical partial laryngectomy between August 2000 and August 2010.

Results: Postoperative pathology reports confirmed negative tumor margins in every case. All patients were followed postoperatively, with a median follow-up interval of 55 months. Three patients had local recurrence; there were no patients who had cervical or distant metastases. The 3-year local control rate was 94% according to life tables curves. There were no reports of laryngostenosis or dysphagia in any patients, and mean Voice Handicap Index (VHI) questionnaire scores were 32.9.

MeSH terms

  • Adult
  • Aged
  • China / epidemiology
  • Female
  • Follow-Up Studies
  • Glottis / surgery*
  • Humans
  • Incidence
  • Laryngeal Neoplasms / diagnosis
  • Laryngeal Neoplasms / mortality
  • Laryngeal Neoplasms / surgery*
  • Laryngectomy / methods*
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Staging*
  • Retrospective Studies
  • Survival Rate / trends
  • Time Factors