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• W2077806093 abstract "The aim of this study is to evaluate the evolution of supracricoid partial laryngectomy (SCPL) in indications, surgical techniques and outcomes through last decades. A retrospective analysis of 146 patients affected by laryngeal cancer treated with SCPL was carried on. We defined: (1) group A, 100 patients treated by cold instruments between 1995 and 2004; (2) group B, 46 patients treated by harmonic scalpel between 2005 and 2010. Complications rate, and functional and oncological results were documented and a comparison between the two groups was made; histopathological analysis of surgical margins was evaluated and correlated with local incidence of recurrence. Significant differences in age mean-value (p = 0.02), T classification (p = 0.007), and in indication for more advanced-staged patients were found in group B (p = 0.001). Surgical procedure was shorter in group B (p < 0.001), with shorter swallowing recovery (p = 0.003). Oncological outcomes did not report any significant differences. Group B showed a higher incidence of post- operative arytenoid edema (p = 0.03) associated with a lower rate of pneumonia (p = 0.038). Despite a higher rate of close or positive-margins found in group B no higher incidence of local-recurrence was reported (p = 0.02) compared to group A. We documented changing in indications and surgical technique for SCPL because of the development of modern diagnostic techniques and the introduction of low-thermal injury device allowing a more challenging tumor excision as well as with a shorter swallowing recovery in our series." @default.
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• W2077806093 date "2014-11-01" @default.
• W2077806093 modified "2023-10-16" @default.
• W2077806093 title "Subtotal supracricoid laryngectomy: changing in indications, surgical techniques and use of new surgical devices" @default.
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• W2077806093 doi "https://doi.org/10.1016/j.amjoto.2014.07.010" @default.
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