Case report
Salvage Supracricoid Partial Laryngectomy with Cricohyoidoepiglottopexy for Radiorecurrent Laryngeal Carcinoma: A Case Report
MD01-MD04
Correspondence
Dr. Meghana Matta Raja,
Junior Resident, Department of Otorhinolaryngology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune-411018, Maharashtra, India.
E-mail: meghana.mr30@gmail.com
Recurrent or residual Laryngeal Squamous Cell Carcinoma (LSCC) after chemoradiotherapy often requires surgical salvage. Salvage total laryngectomy is effective but results in significant long-term functional loss. In selected cases without cartilage invasion, supracricoid laryngectomy with Cricohyoidoepiglottopexy (CHEP) can achieve oncologic clearance while preserving the larynx and reducing aspiration-related morbidity. A 77-year-old male presented with progressive hoarseness for one month. He had been treated three years previously with radiotherapy (25/35 planned cycles; defaulter) and chemotherapy (6 cycles) for LSCC. A Contrast-Enhanced Computed Tomography (CECT) of skull base to thorax showed an enhancing polypoidal lesion involving the anterior 2/3rd of the right true vocal cord (posterior 1/3rd free), no thyroid cartilage, arytenoid, or paraglottic space involvement, and no supraglottic/subglottic extension. No significant cervical lymphadenopathy was noted. Biopsy revealed sarcomatoid carcinoma with spindle cell morphology. The patient underwent supracricoid laryngectomy with cricohyoidoepiglottopexy. Histopathology confirmed spindle cell squamous carcinoma with all margins free of tumour. Tumour size was 0.5×0.5×0.3 cm with staging pT1a pNx pMx. Supra cricoid laryngectomy with cricohyoidoepiglottopexy is an effective organ-preserving option in selected cases of radiorecurrent laryngeal carcinoma without cartilage invasion, helping to avoid total laryngectomy while maintaining oncological safety.