Endoscope-assisted conservative resection and reconstruction in recurrent subglottic carcinoma
| Autor: | Jose Tharayil, Shawn T. Joseph, B.S. Naveen, Mohan T. Mihir |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Glottis medicine.medical_specialty Endoscope medicine.medical_treatment Free flap 03 medical and health sciences 0302 clinical medicine Swallowing medicine Humans 030223 otorhinolaryngology Subglottis Laryngeal Neoplasms Subglottic Carcinoma business.industry Stent Endoscopy Middle Aged Plastic Surgery Procedures Surgery Laryngectomy Otorhinolaryngology 030220 oncology & carcinogenesis Carcinoma Squamous Cell Neoplasm Recurrence Local business Complication |
| Zdroj: | Head & Neck. 40:E36-E39 |
| ISSN: | 1043-3074 |
| DOI: | 10.1002/hed.25083 |
| Popis: | BACKGROUND Very few cases of conservative laryngectomy in recurrent carcinoma of subglottis postradiotherapy have been reported. Technical aspects of conservative resection and reconstruction in subglottic carcinoma have not been well described. METHODS Herein, we present a case of recurrent carcinoma of subglottis for which conservative resection with adequate margins was done with endoscope assistance and defect reconstructed by buccal mucosa, conchal cartilage, and temporoparietal free flap. The technique of resection, reconstruction, complications, postoperative outcome, and our suggestions are described. RESULTS The lesion could be removed with wide margins. Reconstruction could preserve the voice, and deglutition was unaffected. There was no donor site-related complication. Complications were a result of the choice of the stent, which included infection and difficulty in removal. CONCLUSION Selected cases of recurrent carcinoma of the subglottis can be managed by conservative resection with adequate margins and appropriate reconstruction with good functional outcomes. |
| Databáze: | OpenAIRE |
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