LOCAL FAILURE AFTER SUPRACRICOID PARTIAL LARYNGECTOMY - SYMPTOMS, MANAGEMENT, AND OUTCOME

The medical files of 15 patients with local recurrence after supracric oid partial laryngectomy consecutively managed at Laennec Hospital wer e reviewed. The clinical symptoms and the laryngeal computed tomograph y appearance of local recurrence, as well as the salvage treatment per formed, are presented. The main presenting symptom was dyspnea. None o f the local recurrences was considered to be unresectable. One patient refused any form of salvage treatment. Radiation therapy and salvage total laryngectomy were the options retained for local salvage. A mini mum 5-year follow-up was always achieved. In patients who underwent sa lvage total laryngectomy, perioperative or postoperative death and pos toperative pharyngocutaneous fistula were not encountered. The 5-year survival was 33.3%. The local control rate was 66.6%. The percentage o f patients who experienced nodal recurrence was 26.6%, and the distant metasta sis estimate was 53.3%. The cause of death was distant metast asis in eight patients, local recurrence in two, and intercurrent dise ase in one. Peristomal recurrence was not encountered. Overall, 80% lo cal control and 6.6% laryngeal preservation rates were achieved.