Krikohyoidopexie (CHP) und Krikohyoidoepiglottopexie (CHEP): Indikationen, komplikationen, funktionelle und onkologische ergebnisse

Translated title of the contribution: Cricohyoidopexy (CHP) and Cricohyoidoepiglottopexy (CHEP). Indication, complications, functional und oncological results

Ursula Schröder*, M. Jungehülsing, J. P. Klußmann, H. E. Eckel

*Corresponding author for this work
9 Citations (Scopus)


Background. Subtotal laryngectomy with Cricohyoido(epiglotto)pexy (CHEP and CHP) is a commonly used surgical procedure in France, Italy and North America, but it is rarely carried out in Germany, where most laryngeal carcinomas staged T1-T3 are resected endoscopically or with total laryngectomy. Objective. To identify indications for the CHEP and CHP in a setting that uses endolaryngeal procedures as a standard approach to organ preserving surgery in laryngeal cancer patients. Patients. Nineteen patients with primary (n=15) or recurrent (n=4), supra- or transglottic carcinoma or carcinoma of the anterior commissure staged (r)T1b-4N0-2cM0 were treated with subtotal laryngectomy with CHEP (with or without neck dissection/radiotherapy) between October 1997 and June 1999. Results. Undisturbed deglutition without aspiration and respiration without tracheotomy was achieved in 17/19 patients. Three patients showed temporary pneumonia from aspiration and two patients needed further treatment for endolaryngeal synechia. Three patients died of unrelated causes. Four patients were diagnosed with local recurrence: Two of them died from tumor, two patients had curative total laryngectomy as salvage surgery. Fourteen patients are living free of disease 24-40 months after therapy. Conclusion. CHEP is a subtotal laryngectomy with increased postoperative morbidity, but good functional results. Assuming a scrupulous indication for the extended tumors the oncological results of the CHEP are satisfying, too.

Translated title of the contributionCricohyoidopexy (CHP) and Cricohyoidoepiglottopexy (CHEP). Indication, complications, functional und oncological results
Original languageGerman
Issue number1
Pages (from-to)38-45
Number of pages8
Publication statusPublished - 01.01.2003


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