Modified supracricoid laryngectomy: oncological and functional outcomes in the elderly

Figures & data

Table 1 Demographic characteristics, tumor staging, and surgical treatment

Parameter	Patients (n = 21)	Patients < 65 years (n = 11)	Patients > 65 years (n = 10)
Patients, n (%)	21 (100)	11 (52.4)	10 (47.6)
Age
Median, years	63	54	71.5
Range, years	43–73	43–64	65–73
Gender, n (%)
Male	20 (95.2)	10 (90.9)	10 (100)
Female	1 (4.8)	1 (9.1)	0
Karnofsky PS, n (%)
100	8 (38.1)	7 (63.6)	1 (10)
90	7 (33.3)	3 (27.3)	4 (40)
80	5 (23.8)	1 (9.1)	4 (40)
70	1 (4.7)	0	1 (10)
Clinical tumor staging, n (%)
T1bN0M0	6 (28.6)	1 (9.1)	5 (50)
T2N0M0	12 (57.1)	8 (72.7)	4 (40)
T1bN1M0	1 (4.7)	1 (9.1)	0
T2N2bM0	1 (4.7)	0	1 (10)
T3N0M0	1 (4.7)	1 (9.1)	0
Surgical treatment, n (%)
MSCL-CHEP	19 (90.5)	11 (100)	8 (80)
MSCL-CHP	2 (9.52)	0	2 (20)
Monolateral selective neck dissection, n (%)	2 (9.52)	1 (9.1)	1 (10)

Abbreviations: CHP, cricohyoidopexy; CHEP, cricohyoidoepiglottopexy; PS, performance score; MSCL, modified supracricoid laryngectomy.

Table 2 Postoperative outcomes, functional outcomes and follow-up period

Parameter	Patients (n = 21)	Patients < 65 years (n = 11)	Patients > 65 years (n = 10)	P value
Length of hospitalization
Median (days)	22	21	23	0.39*
Range (days)	16–43	16–38	16–43
Nasogastric feeding tube removal
Median (days)	19	19	18.5	0.85*
Range (days)	14–36	14–36	14–28
Decannulation
n (%)	20 (95.2)	11 (100)	9 (90)	0.47**
Decannulation time
Median (months)	8	8	10	0.12*
Range (months)	4–36	4–36	6–24
Total laryngectomy
n (%)	2 (9.5)	1 (9)	1 (10)	1**
Follow-up period
Median (months)	31	31	32	0.48*
Range (months)	10–72	10–72	11–72

Notes:

* Mann-Whitney test;

** Fisher’s Exact test.

Figure 1 Recurrence-free survival rate.

Note: Comparison of recurrence-free survival rate in patients younger and older than 65 years of age.

Table 3 INFVo rating scale

Parameter	Patients (n = 21)	Patients < 65 years (n = 11)	Patients > 65 years (n = 10)	P value*
I	7.7	8	7.5	0.77
N	7	7.7	6.3	0.01
F	7.5	7.7	7.4	0.30
Vo	6.5	7	6	0.39
Total	29.5	31.3	28	0.08

Note:

* Mann-Whitney test.

Abbreviations: I, intelligibility; N, noise; F, fluency; Vo, voicing.