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Date Published: 06/04/2026
Abstract Views: 90
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DOI: https://doi.org/10.51298/vmj.v560i2.17845
Issue
Vol. 560 No. 2 (2026)
Section
Các bài báo
How to Cite
Trần, A. B., & Phùng, N. M. T. (2026). PRELIMINARY EVALUATION OF THE OUTCOMES OF MODIFIED SUPRACRICOID PARTIAL LARYNGECTOMY USING THE CHEP TECHNIQUE AT CHO RAY HOSPITAL. Vietnam Medical Journal, 560(2). https://doi.org/10.51298/vmj.v560i2.17845

PRELIMINARY EVALUATION OF THE OUTCOMES OF MODIFIED SUPRACRICOID PARTIAL LARYNGECTOMY USING THE CHEP TECHNIQUE AT CHO RAY HOSPITAL

Anh Bích Trần, Nguyễn Minh Tân Phùng

Main Article Content

Abstract

Objectives: To assess the preliminary effectiveness of modified supracricoid partial laryngectomy (CHEP) with bilateral sternohyoid muscle flaps in restoring phonatory and swallowing functions, and quality of life in early-stage laryngeal carcinoma patients, compared with conventional CHEP technique. Subjects and methods: Prospective clinical intervention study with retrospective control group. Intervention group (A): 14 patients undergoing modified CHEP (6/2024-5/2025). Control group (B): 17 patients undergoing conventional CHEP (6/2023-5/2024). Results: Group A demonstrated significantly shorter recovery time compared to Group B: hospitalization times were 13.4 ± 1.6 and 16.1 ± 2.1 days respectively (p < 0.001), feeding tube removal 15.4 ± 1.8 compared to 27.8 ± 3.2 days (p < 0.001), tracheostomy cannula removal 21.6 ± 2.4 compared to 26.4 ± 2.9 days (p < 0.001). Subcutaneous emphysema rate was lower in Group A (0% compared to 11.76%, p = 0.037). Total VHI-10 score: Group A 12.50 ± 1.45 compared to Group B 21.24 ± 2.25 (p < 0.001). Acoustic parameters in Group A improved: F0 93.67 ± 4.25 compared to 71.38 ± 15.88 Hz, NHR 0.27 ± 0.15 compared to 0.76 ± 0.21 (all p < 0.05). Composite MDADI: Group A 86.5 ± 5.2 compared to Group B 79.2 ± 8.4. Conclusions: Modified CHEP with bilateral sternohyoid muscle flaps (Group A) is a safe and feasible procedure, significantly improving swallowing and voice functions, reducing postoperative complications, and enhancing overall quality of life compared with conventional CHEP approach.

Article Details

Keywords

laryngeal tumors, modified SCPL with CHEP, sternohyoid muscle flap, quality of life.

References

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