The Rate of Anterior Commissure Invasion in Supracricoid Laryngectomy

Yıl 2021, Cilt: 11 Sayı: EK-1, 198 - 202, 01.05.2020

Mehmet Akif Abakay Selcuk Gunes Ibrahim Sayin Burak Olgun Basak Saygan Usta Didem Canoglu Mehmet Sar Duygu Yegul

Öz

Aim: To determine the pathologic anterior commissure invasion rate in patients undergoing supracricoid partial laryngectomy.
Material and Method: We have reviewed retrospectively the files of patients who underwent supracricoid partial laryngectomy for squamous cell carcinoma of the larynx in our clinic to determine the rates of pathologic anterior commissure invasion and to investigate the relationship of pathologic anterior commissure invasion according to other characteristics of the tumor.
Results: Anterior commissure invasion was found in 51.8% of the patients who underwent supracricoid partial laryngectomy. Some 64.3% of the patients with anterior commissure invasion were in stage T2. The anterior commissure invasion rate was 56.25% in T2 tumors. Anterior commissure invasion was detected in all patients with T1b, whereas no anterior commissure invasion was detected in any T3 cases.
Conclusion: In the selection of the supracricoid laryngectomy technique, which can be performed effectively and safely in the treatment of glottic region tumors, anterior commissure invasion is critical, and T1b tumors, in particular, should be evaluated carefully for anterior commissure invasion.

Anahtar Kelimeler

glottis, larenks, kanser; invazyon

Kaynakça

• 1. Ulusan M, Unsaler S, Basaran B, Yılmazbayhan D, Aslan I. The incidence of thyroid cartilage invasion through the anterior commissure in clinically early-staged laryngeal cancer. Eur Arch Otorhinolaryngol 2016;273:447–453.
• 2. Atallah I, Berta E, Coffre A, Villa J, Reyt E, Righini CA. Supracricoid partial laryngectomy with crico-hyoidoepiglottopexy for glottic carcinoma with anterior commissure involvement. Acta Otorhinolaryngologıca Italica 2017;37:188–94.
• 3. Bradley PJ, Rinaldo A, Suárez, Shaha AR, Leemans R, Langendijk JA et al. Primary treatment of the anterior vocal commissure squamous Carcinoma. Eur Arch Otorhinolaryngol(2006)263:879–888.
• 4. Majer EH, Rieder W. Technic of laryngectomy permitting the conservation of respiratory permeability (cricohyoidepexy) Ann Otolaryngol 1959;76:677–81.
• 5. Porras AE, Vilaseca GI, García TM, Durban RB, Pallas GV, Mestre MS et al. Early glottic tumours with anterior commissure involvement. Literature review and consensus document. Head and Neck and Skull Base Commission, SEORL-CCC. Tumores glóticos precoces con afectación de la comisura anterior. Revisión bibliográfica y documento de consenso. Comisión de cabeza y cuello y base de cráneo. SEORL-CCC. Acta Otorrinolaringol Esp 2020;71 Suppl 1:1–20.
• 6. Hartl DM, Landry G, Hans S, Marandas P, Casiraghi O, Janot F et al. Thyroid cartilage invasion in early-stage squamous cell carcinoma involving the anterior commissure. Head Neck 2012;34(10):1476–9.
• 7. Hendriskima M, Sjögren EV. Involvement of the anterior commissure in early glottis cancer (Tis-T2): A review of the literature. Cancers (Basel)2019;11(9):1234.
• 8. Foucher M, Barnoud R, Buiret G, Pignat JC, Poupart M. Preand post-therapeutic staging of laryngeal carcinoma involving anterior commissure: Review of 127 cases. ISRN Otolaryngol 2012;2012:363148.
• 9. Prades JM, Peoc’h M, Petcu C, Karkas A, Dumollard JM, Gavid M. The anterior commissure of the human larynx revisited. Surg Radiol Anat 2017;39(8):871–876.
• 10. Naiboglu B, Kinis V, Toros SZ, Habeşoğlu TE, Deveci I, Surmeli M et al. Diagnosis of anterior commissure invasion in laryngeal cancer. Eur Arch Otorhinolaryngol 2010;267(4):551–5. Erratum in: Eur Arch Otorhinolaryngol 2013;270(8):2379.
• 11. Allegra E, Saita V, Azzolina A, Natale MD, Bianco MR, Moidca DM, et al. Impact of the anterior commissure involvement on the survival of early glottic cancer treated with cricohyoidoepiglottopexy: a retrospective study. Cancer Manag Res 2018;10:5553–5558.
• 12. Pescetto B, Gal J, Chamorey E, Dassonville O, Poissonnet G, Bozec A. Role of supracricoid partial laryngectomy with cricohyoidoepiglottopexy in glottic carcinoma with anterior commissure involvement. Eur Ann Otorhinolaryngol Head Neck Dis 2018;135(4):249–253.
• 13. Tulli M, Re M, Bondi S, Ferrante L, Dajko M, Giordano L et al. The prognostic value of anterior commissure involvement in T1 glottic cancer: A systematic review and meta-analysis. Laryngoscope 2020;130(8):1932–1940.
• 14. Schindler A, Pizzorni N, Mozzanica F, Fantini M, Ginocchio D, Bertolin A, Crosetti E, Succo G. Functional outcomes after supracricoid laryngectomy: what do we not know and what do we need to know? Eur Arch Otorhinolaryngol 2016;273(11):3459–3475.
• 15. Barbosa MM, Araújo VJ Jr, Boasquevisque E, Carvalho R, Romano S, Lima RA et al. Anterior vocal commissure invasion in laryngeal carcinoma diagnosis. Laryngoscope 2005;115(4):724–730.
• 16. Sava HW, Dedivitis RA, Gameiro GR, Pfuetzenreiter EG, de Almeida RC, Matos LL et al. Morphological evaluation of thyroid cartilage ınvasion in early glottic tumours ınvolving the anterior commissure. ORL J Otorhinolaryngol Relat Spec 2018;80(5–6):259–270.