BACKGROUND: Transoral laser microsurgery (TLM) is the method of choice for partial laryngectomy in Germany. In advanced stages, chemoradiotherapy is increasingly indicated for organ preservation. OBJECTIVE: This report considers the indications for and outcomes of supracricoid partial laryngectomy (SPL), also known as crico-hyoido-(epiglotto)-pexy, as an option for surgical organ preservation in moderately advanced @entity5 ( @entity31481 ), in the well-defined gap between TLM and chemoradiotherapy protocols in Germany. METHODS: Retrospective evaluation of functional and oncological outcomes of all SPLs conducted between  2008 and  2014. During this period, 17  SPLs with resection of rpT2 (n  =  2), (r)pT3 (n  =  11), and (r)pT4a (n  =  4) were performed with resection of one arytenoid. Mean age was 58  years (range 47-75  years). In 5  @entity1 , SPL was for a first or second local recurrence after TLM or open partial laryngectomy. Adjuvant radiotherapy was received by 7  @entity1 staged pT4a or pN+. RESULTS: Salvage laryngectomy with adjuvant radiotherapy was required by 2  @entity1 . The remaining @entity1 (n  =  15) had a mean @entity5 -free follow-up of 4  years with a functional intact larynx: these @entity1 can eat and drink, have a closed tracheotomy, and a good voice. After 3  years @entity5 -free follow-up with a functional intact larynx, 2  @entity1 died due to cardiac comorbidity at the age of 76  years. DISCUSSION: SPL is a rare but valuable option for surgical larynx preservation in stage pT3-4a @entity5 .

[The value of supracricoid partial laryngectomy in moderately advanced XXXX ( @entity31481 )].

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'laryngeal cancer'] @entity31481 :: ('MESH:C537047', 'Disease') :: ['T3-T4a'] @entity1 :: ('9606', 'Species') :: ['patients']
@entity5 :: (MESH:D009369,Disease) :: ['laryngeal cancer']
