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Abstract There are several recommendations that we can make based on the current study. It is evident that open partial laryngectomy for recurrences using any appropriate technique, including VPL or HPL, produces repeatable outcomes for achieving a cure and local control. These results should encourage more centers to offer open partial laryngectomy rather than total laryngectomy to carefully selected patients. It must be noted that this is a selected group of patients with very few recurrences classified as T3 and T4, and care should be taken not to extrapolate the results to all recurrences. We recommend that, when reporting the results from partial laryngectomy, future studies should ensure comprehensive reporting of the following outcomes: local control, diseasefree survival, overall survival, performance status, comorbidity status, decannulation rate, and proportion of patients who require further treatment for laryngeal stenosis, time taken for oral intake, and pretreatment and post-treatment voice and swallowing subjective measures. Clearly, further studies are needed to document functional outcomes after this procedure. In conclusion, partial laryngectomy procedures appear to be effective for the treatment of recurrent laryngeal cancer. However, it should be noted that most of the evidence available is for earlier stage lesions (T1/T2), thus highlighting the selected nature of this group of patients and the importance of correct selection. When partial laryngectomy is undertaken, both vertical and supracricoid laryngectomy procedures appear to be effective. |