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1 Supplementary Online Content Sperry SM, Rassekh CH, Laccourreye O, Weinstein GS. Supracricoid partial laryngectomy for primary and recurrent laryngeal cancer. Published online October 3, 213. JAMA Otolaryngol Head Neck Surg. doi:1.11/jamaoto etable 1. List of Total Laryngectomies etable 2. Summary of Published SCPL Series ereferences. ereferences This supplementary material has been provided by the authors to give readers additional information about their work.
2 Online-Only Supplements Eleven patients in the series had a TL performed following SCPL, as summarized in etable1. In three cases this was for grossly or microscopically positive margins in previously radiated patients without an alternative for salvage local control other than total laryngectomy. These patients were excluded from the subsequent oncologic analyses, as they were in effect salvaged with a TL and not SCPL. Two patients had TL performed for second primary tumors unrelated to the lesion treated by SCPL. These two were excluded from consideration when calculating LP. The other six underwent TL to salvage a recurrence: local alone (n=3), locoregional (n=2), and regional alone (n=1). In all cases, local control was obtained. etable2 summarizes published English language studies reporting outcomes following SCPL for primary tumors We also reviewed published English literature studies reporting outcomes following vertical partial laryngectomy, TLM, or SCPL 12,39-43 for radiorecurrent laryngeal tumors, and summarized the results as detailed in the main article discussion section.
3 etable1. List of Total Laryngectomies Tumor History Stage Reason for Laryngectomy Time to Outcome TL 1 Recurrent T2N Microscopically positive margin mo In remission, last followup at 83mo 2 Recurrent T2N Grossly positive margin at primary surgery Intraop In remission, last followup at 56mo 3 Recurrent T2N Grossly positive margin at primary surgery Intraop In remission, last followup at 85mo 4 Primary supraglottic T2N 2 nd primary tumor of larynx 124 mo In remission, last followup at 13mo 5 Recurrent T3N 2 nd primary hypopharynx tumor on contralateral side 9 mo Unresectable neck disease; death at 11mo 6 Glottic primary T3N 7 Glottic primary 8 Recurrent 9 Recurrent supraglottic s/p RT 1 Recurrent 11 Recurrent Persistent recurrent paratracheal tumor after chemo + RT, with tracheal invasion 36 mo TL performed at OSH, persistent paratracheal disease, death at 49mo T3N Locoregional recurrence 16 mo Locoregional control; distant mets developed, death at 51mo T1N Locoregional recurrence 4 mo Locoregional control; death at 11mo disease free T2N Local recurrence 4 mo Local control; in remission at 24mo T1N Local recurrence 11 mo Local control; in remission at 26mo T2N Local recurrence 14 mo Local control; in remission at 124mo
4 etable2. Summary of Published SCPL Series Author Country Year Size CHEP / CHP (%) T1, T2, T3, T4 (%) LC (Yr F/U) Ultima te LC LP DSS (5-yr) Laccourreye France / 25,72,, (5) Laccourreye France /1 1,59,38,1 1 (5) Chevalier France /1 3,67,23,7 97 (5) Chevalier France /,8,2, 94.6 (5) Crampette France / 72,28,, 92.7 (3) Laccourreye France /,1,, 94.6 (1) Lima Brazil /,41,59, 96.2 (3) Schwaab France /1 1,6,36, (5) Karasalihoglu Turkey /63 12,66,15, (5) Akbas Turkey 2 46 /1 24,43,33, 95.6 (2) Targa Italy 2 81 /1 38,32,12, (4) Gallo Italy /71 1,58,25, (5) Laudadio Italy /9 32,43,22, (5) Lima Brazil /,,98,2 85 (5) Farrag US /25 4,71,25, 1 (3) Bakhos France / 63,37,, 83 (5) Nakayama Japan /9 6,36,44,6 1 (3) Sun Korea /32 17,41,22,19 87 (5) Total T2/T3 99,69,31, Total Weighted Avg ,61,23, Adapted from Thomas, et. al ereferences: 1. Thomas L, Drinnan M, Natesh B, Mehanna H, Jones T, Paleri V. Open conservation partial laryngectomy for laryngeal cancer: a systematic review of English language literature. Cancer Treat. Rev. 212;38(3):
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6 Laryngol. 1975;84(6): Rooker DW. Partial laryngectomy as therapy for cancer of the larynx after irradiation failure. Southern Medical Journal. 1976;69(1): Burns H, Bryce DP, Van Nostrand AWP. Conservation surgery in laryngeal cancer and its role following failed radiotherapy. A histopathological and clinical study of 32 cases. Arch. Otolaryngol. Head Neck Surg. 1979;15(5): Nichols RD, Stine PH, KJ G. Partial laryngectomy after radiation failure. The Laryngoscope. 198;9(4): Croll GA, Van Den dbroek P, tiwari RM, manni JJ, snow GB. Vertical partial laryngectomy for recurrent glottic carcinoma after irradiation. Head Neck. 1985;7(5): Strauss M. Hemilaryngectomy rescue surgery for radiation failure in early glottic carcinoma. The Laryngoscope. 1988;98(3): Rothfield RE, Johnson JT, Myers EN, Wagner RL. Hemilaryngectomy for salvage of radiation therapy failures. Otolaryngology - Head and Neck Surgery. 199;13(5 ( Pt 1)): Shah JP, Loree TR, Kowalski L. Conservation surgery for radiation-failure carcinoma of the glottic larynx. Head Neck. 199;12(4): Lavey RS, Calcaterra TC. Partial laryngectomy for glottic cancer after high-dose radiotherapy. The American Journal of Surgery. 1991;162(4): Schwaab G, Mamelle G, Lartigau E, Parise O Jr., Wibault P, Luboinski B. Surgical salvage treatment of T1/T2 glottic carcinoma after failure of radiotherapy. The American Journal of Surgery. 1994;168(5): Kooper DP, Broek PVD, Manni JJ, Tiwari RM, Snow GB. Partial vertical laryngectomy for recurrent glottic carcinoma. Clin Otolaryngol. 1995;2(2): Lydiatt WM, Shah JP, Lydiatt KM. Conservation surgery for recurrent carcinoma of the glottic larynx. The American Journal of Surgery. 1996;172(6): McLaughlin MP, Parsons JT, Fein DA, et al. Salvage surgery after radiotherapy failure in T1 T2 squamous cell carcinoma of the glottic larynx. Head Neck. 1996;18(3): Greisen O, Carl J, Pedersen M. A consecutive series of patients with laryngeal carcinoma treated by primary irradiation. Acta Oncol. 1997;36(3): SØRensen H, Hansen HS, Thomsen KA. Partial laryngectomy following irradiation. The Laryngoscope Steiner W, Vogt P, Ambrosch P, Kron M. Transoral carbon dioxide laser microsurgery for recurrent glottic carcinoma after radiotherapy. Head Neck. 24;26(6): Puxeddu R. Carbon dioxide laser salvage surgery after radiotherapy failure in T1 and T2 glottic carcinoma. Otolaryngology - Head and Neck Surgery. 24;13(1): de Gier HHW, Knegt PPM, de Boer MF, Meeuwis CA, van der Velden LA, Kerrebijn JDF. CO2laser treatment of recurrent glottic carcinoma. Head Neck. 21;23(3): Outzen KE, Illum P. CO2-laser therapy for carcinoma of the larynx. J. Laryngol. Otol. 1995;19(2):
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