Anterior frontal vertical partial laryngectomy: Oncological results and voice quality
Purpose/Objective
To Study the oncological and functional results of Anterior frontal vertical partial laryngectomy (Tucker).
Material/Methods
Retrospective study conducted over a period of 10 years [2013-2022] collecting 19 patients treated with Tucker partial laryngectomy for laryngeal cancer.
Results
All patients were male. Mean age was 58 years. Three patients were diabetic and four were hypertensive. Seventeen patients had glottic limited tumor. Two patients had a subglottique extension. No lymph-nodes and no distant metastatic extension were noted. Fifteen patients had the two arytenoids preserved. The histological type was in all cases squamous cell carcinoma. Resection limits were healthy in 17 cases and cramped in 2 cases. Postoperative complications were surgical site infection (2 cases) and lung infection (2 cases). The mean postoperative decannulation time was 11 days [4-22 days]. The mean time to remove the nasogastric tube was 15 days [7-24 days]. The mean duration of hospitalization was 17 days [13-28 days]. Eight patients benefited from speech therapy rehabilitation. The average time to resume an audible voice was 10 days. For a mean follow-up of 3 years, one patient presented recurrenceand was treated with total laryngectomy.
Conclusion
Anterior frontal vertical partial laryngectomy allows to have good oncological and fuctional results for selected early stage of laryngeal cancers.
