Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid
| Autor: | Christos Ikonomidis, Philippe Monnier, Yves Jaquet, Anne-Claude Guinchard, Yan Monnier |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Larynx
medicine.medical_specialty business.industry medicine.medical_treatment Thyroid cartilage Prosthesis Surgery Hemilaryngectomy Laryngectomy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Tracheotomy Otorhinolaryngology Swallowing 030220 oncology & carcinogenesis Cricoid cartilage medicine 030223 otorhinolaryngology business |
| Zdroj: | Head & Neck. 38:1722-1727 |
| ISSN: | 1043-3074 |
| DOI: | 10.1002/hed.24476 |
| Popis: | Background Partial laryngectomy techniques are challenging, especially in young patients where function has to be preserved without compromising the oncologic outcome. We present a modified laryngectomy technique indicated for tumors invading one hemicricoid. Methods Vertical hemilaryngectomy with reconstruction of neo-glottis by hemi trachea and placement of an endolaryngeal silicon prosthesis for a 21-y old female patient presenting with a synovial sarcoma located on the left arytenoid area. Results The prosthesis was removed at 6 w with tracheotomy closure at 8w post-op. Patient underwent adjuvant radiotherapy. Functional outcome showed good swallowing without aspiration. Voice was hoarse. At 5 years post-op the patient is free of recurrence presenting only mild dyspnea upon effort. Conclusion Vertical hemilaryngectomy including a hemicricoid is feasible with single stage reconstruction by a hemi-trachea of 4 to 5 rings intussuscepted into the thyroid cartilage. The functional outcome is good considering oncologic safety and avoidance of a permanent tracheostomy. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1708-1716, 2016. |
| Databáze: | OpenAIRE |
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