Supratracheal laryngectomy (STL) is the ultimate
option in conservation surgery, and can be used as an
alternative to total laryngectomy in selected tumors.
This case series is the first report from Turkey that
analyzes the oncological and functional outcomes of
STL along with a literature review. Files of five patients who underwent STL between June 2016 and
June 2019 were analyzed. Primary tumor findings,
postoperative pathology reports, treatment modalities
and oncological and functional outcomes of the surgical intervention were noted. Two patients were operated on for horse-shoe glottic tumors with subglottic
extension, one patient for primary subglottic mass
and two for transglottic ventricular tumors with anterior subglottic extension. Pathological stage of two
patients was T3, and of three patients was T4a due to
thyroid cartilage invasion. No neck metastases were
observed. Three patients with T4a primary tumor
were treated with adjuvant radiotherapy. All patients
were found disease free in their last follow-up visit.
Nasogastric tube was removed in the 1st postoperative
month in all patients. While one patient remained
tracheostomized in the follow-up period, the remaining four were decannulated. This technique can be
used as an alternative to total laryngectomy especially
in selected cases with subglottic extension.