17 results match your criteria Conservation Laryngeal Surgery Supracricoid Laryngectomy

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Salvage total laryngectomy after conservation laryngeal surgery for recurrent laryngeal squamous cell carcinoma.

Acta Otorhinolaryngol Ital 2016 Oct;36(5):373-380

Department of Sensory Organs, ENT Section, "Sapienza" University of Rome, Italy.

The aim of the present study was to evaluate the oncological efficacy of salvage total laryngectomy in patients who had previously undergone supracricoid partial laryngectomy or transoral laser microsurgery for treatment of laryngeal squamous cell carcinoma. We retrospectively reviewed the medical, surgical and pathological records of 35 patients who underwent salvage total laryngectomy after recurrence of laryngeal cancer (following supracricoid partial laryngectomy or transoral laser microsurgery). Kaplan-Meier survival curves as well as univariate and multivariate analyses of prognostic factors were performed. Read More

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October 2016

Salvage Conservation Laryngeal Surgery After Radiation Therapy Failure.

Otolaryngol Clin North Am 2015 Aug;48(4):667-75

Department of Otorhinolaryngology - Head and Neck Surgery, University Paris Descartes Sorbonne Paris Cité, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, 20 rue Leblanc, Paris 70015, France.

Conservation laryngeal surgery (CLS) includes time-honored approaches such as the vertical partial laryngectomy and the open horizontal supraglottic laryngectomy, as well as the supracricoid partial laryngectomy and transoral laser microsurgery. Carefully selected patients can undergo transoral endoscopic or open CLS for early to intermediate stage recurrent tumors of the glottic and supraglottic larynx. Patient factors, such as comorbid pulmonary disease, are essential in selecting patients for CLS, especially after previous radiation therapy. Read More

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Communication adjustment of patients with a laryngectomy in Turkey: analysis by type of surgery and mode of speech.

Psychol Health Med 2011 Dec 12;16(6):650-60. Epub 2011 Jul 12.

Department of Audiology, Speech-Language Pathology and Deaf Studies, Towson University, Towson, MD, USA.

Previous studies have routinely shown that individuals with a laryngectomy (IWL) have a decreased quality of life (QoL). However, the questionnaires frequently used are not specifically designed for persons with laryngeal cancer and may not reflect the issues of most concern to IWL. The purpose of this study was to investigate (1) the overall communication adjustment of IWL in Turkey, (2) the differences in communication adjustment among types of surgery for the treatment of laryngeal cancer, and (3) the differences in communication adjustment among types of speech following treatment for laryngeal cancer. Read More

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December 2011

Diagnosis and treatment of recurrent laryngeal cancer following initial nonsurgical therapy.

Head Neck 2012 May 11;34(5):727-35. Epub 2011 Apr 11.

Department of Head and Neck Surgery, Hospital Aristides Maltez, Salvador, Brazil.

Surgery is the preferred modality for curative treatment of recurrent laryngeal cancer after failure of nonsurgical treatments. Patients with initial early-stage cancer experiencing recurrence following radiotherapy often have more advanced-stage tumors by the time the recurrence is recognized. About one third of such recurrent cancers are suitable for conservation surgery. Read More

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Conservation surgery for early laryngeal carcinoma.

ORL J Otorhinolaryngol Relat Spec 2010 29;72(4):220-4. Epub 2010 Jul 29.

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.

Background: Squamous cell carcinoma is the commonest malignant tumour of the larynx. The traditional treatment options have included radiotherapy and total laryngectomy. Due to the pivotal role of the larynx in respiration, speech and deglutition, conservative approaches to the management of malignant lesions were suggested. Read More

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January 2011

Current trends in initial management of laryngeal cancer: the declining use of open surgery.

Eur Arch Otorhinolaryngol 2009 Sep 14;266(9):1333-52. Epub 2009 Jul 14.

Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

The role of open surgery for management of laryngeal cancer has been greatly diminished during the past decade. The development of transoral endoscopic laser microsurgery (TLS), improvements in delivery of radiation therapy (RT) and the advent of multimodality protocols, particularly concomitant chemoradiotherapy (CCRT) have supplanted the previously standard techniques of open partial laryngectomy for early cancer and total laryngectomy followed by adjuvant RT for advanced cancer. A review of the recent literature revealed virtually no new reports of conventional conservation surgery as initial treatment for early stage glottic and supraglottic cancer. Read More

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September 2009

[Supracricoid partial laryngectomy as salvage for recurrent carcinoma of the larynx initially treated by vertical partial hemilaryngectomy. Case report].

Cir Cir 2008 Jul-Aug;76(4):333-7

Departamento de Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, México, D.F.

Objective: We undertook this study to report the possibility of salvage of vertical partial hemilaryngectomy with imbrication laryngoplasty (PVHLIL) to supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) in a patient with recurrent glottic carcinoma.

Clinical Case: A 68-year-old patient with recurrent glottic squamous cell carcinoma (T1aN0) was treated with imbricated partial laryngectomy. Transoperative histopathological report demonstrated vocal cord free surgical margins anterior at 1 cm and 0. Read More

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October 2009

Supracricoid laryngectomy as salvage surgery after failure of radiation therapy.

Eur Arch Otorhinolaryngol 2007 Jul 13;264(7):809-14. Epub 2007 Feb 13.

Department of Otolaryngology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, 08025, Barcelona, Spain.

Supracricoid laryngectomy can be an alternative in selected patients with a local recurrence after radiotherapy when endoscopic treatment or more conservative external approaches are not indicated. In this study, we reviewed our experience in patients who underwent salvage supracricoid laryngectomies for local recurrence following radiotherapy. Between 1997 and 2005, salvage supracricoid laryngectomy was performed in nine consecutive patients. Read More

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The role of supracricoid laryngectomy for glottic carcinoma recurrence after radiotherapy failure: a critical review.

Acta Otolaryngol 2006 Dec;126(12):1245-51

Department of Medical and Surgical Specialties, Section of Otolaryngology, University of Padova, Padova, Italy.

Conclusions: In the near future salvage supracricoid laryngectomy (SCL) will be used more extensively for failures of radiotherapy for glottic carcinoma.

Objectives: Primary radiotherapy has been used for patients with early glottic carcinomas in northern Europe and North America for more than half a century. Local recurrences after radiotherapy for glottic malignancies occur in 5-25% for T1 carcinomas and in 15-50% for T2 carcinomas. Read More

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December 2006

Options for salvage after failed initial treatment of anterior vocal commissure squamous carcinoma.

Eur Arch Otorhinolaryngol 2006 Oct 15;263(10):889-94. Epub 2006 Aug 15.

Department of Otorhinolaryngology-Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.

Persistence or recurrent cancer in the anterior commissure (AC) after primary radiotherapy may remain localized to its pretreatment anatomical site. If so, endoscopic CO(2) laser excision, in experienced hands, may achieve complete tumor excision and result in cure for many patients. Occasionally, second and third recurrences may be similarly salvaged by further endoscopic surgery. Read More

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October 2006

Oncologic and functional results of supracricoid partial laryngectomy with cricohyoidopexy.

Otolaryngol Head Neck Surg 2005 May;132(5):783-7

Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey.

Objective: Supracricoid partial laryngectomy with cricohyoidopexy (SPL-CHP) is an alternative technique described for extensive tumors of the larynx that are beyond the limits of classical conservation partial laryngectomy and otherwise would be treated by total laryngectomy.

Study Design And Setting: Forty-six patients with carcinoma of the larynx underwent SPL-CHP between 1991 and 2003. The median age was 54 (range, 37 to 72). Read More

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Supracricoid hemilaryngopharyngectomy in patients with invasive squamous cell carcinoma of the pyriform sinus. Part I: Technique, complications, and long-term functional outcome.

Ann Otol Rhinol Laryngol 2005 Jan;114(1 Pt 1):25-34

Department of Otorhinolaryngology-Head and Neck Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, University of Paris V, Paris, France.

On the basis of a retrospective review of an inception cohort of 135 patients, with an isolated, previously untreated, moderately differentiated to well-differentiated invasive squamous cell carcinoma of the pyriform sinus and a minimum of 3 years of follow-up, consecutively managed with a supracricoid hemilaryngopharyngectomy (SCHLP) at a single tertiary referral care center and locally controlled, the authors review in detail the surgical technique, highlight the potential technical pitfalls, and document the complications and long-term functional outcome. The overall postoperative mortality rate was 3.7%. Read More

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January 2005

Supracricoid partial laryngectomies after failure of radiation therapy.

Laryngoscope 2005 Feb;115(2):353-7

Department of Otolaryngology-Head and Neck Surgery, Hopital Gui de Chauliac, University of Medecine, Montpellier 34295, France.

Background: Conservation of laryngeal function is a key surgical objective in cases of limited recurrence after previously irradiated T1b or T2 glottic carcinoma. Only a few articles have mentioned the use of supracricoid partial laryngectomies (SCPL) to treat recurrent T1/T2 tumors that cannot be managed with vertical partial laryngectomy.

Objectives: To evaluate oncologic and functional results of SCPL in selected cases of T1/T2 glottic carcinoma recurrence after primary irradiation therapy. Read More

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February 2005

Conservation laryngeal surgery.

S C Marks

Curr Oncol Rep 1999 ;1(2):99-104

Department of Otolaryngology/Head and Neck Surgery, Wayne State University, Harper Hospital, 4201 St. Antoine UHC-5G, Detroit, MI 48201, USA.

Conservation laryngeal surgery is an increasingly available alternative for treatment of laryngeal cancer. In addition to the traditional techniques of vertical partial laryngectomy (hemilaryngectomy) and supraglottic laryngectomy, new techniques are now in practice that extend the indications to a far greater number of patients. The carbon dioxide laser is used to resect both glottic and supraglottic cancers. Read More

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The role of partial laryngeal resection in current management of laryngeal cancer: a collective review.

Acta Otolaryngol 2000 Jun;120(4):456-65

Department of Otolaryngology--Head and Neck Surgery, University of Udine, Italy.

A spectrum of treatment plans and surgical procedures is available for management of early and moderately advanced laryngeal cancer. While the approach of chemotherapy and irradiation, or irradiation alone, followed by total laryngectomy for failure is often employed in practice by present day clinicians, the options of conventional conservation surgery (CCS), transoral endoscopic laser surgery (TLS) and supracricoid partial laryngectomy (SCPL) provide a wide choice of treatments that may help attain the goal of cure with preservation of laryngeal function and integrity of the airway. While CCS has been supplanted for many early-stage lesions by TLS and for more advanced stages by SCPL, centres throughout the world have reported favourable results with CCS, which is often modified to include resection of more extensive tumours than was previously possible. Read More

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Indication and surgical technique for extended hemilaryngectomy.

Z Balatoni J Elö

Eur Arch Otorhinolaryngol 1999 ;256(8):400-2

Department of Otolaryngology, Head and Neck Surgery, Uzsoki Teaching Hospital, Uzsoki Str. 29, H-1145 Budapest, Hungary.

Previous experience has shown that conservation of the healthy hemilarynx is possible for the treatment of extended lateralized laryngeal and hypopharyngeal cancers. One major indication for supracricoid hemilaryngectomy is glottic cancer involving either the arytenoid or Morgagni's ventricle. Hemilaryngopharyngectomy is also indicated when tumor of the pyriform sinus involves its anterior part, lateral wall, medial wall and ary- and pharyngoepiglottic folds. Read More

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November 1999

[Reconstructive laryngectomy (author's transl)].

J Labayle S Dahan

Ann Otolaryngol Chir Cervicofac 1981 ;98(12):587-92

The technique, indications, and results of the surgical operation known as reconstructive laryngectomy are described. The intervention involves the performance of a supracricoid subtotal laryngectomy with conservation of an arytenoid, followed by a cricohyoidopexy. This allows re-establishment of the triple function of the aerodigestive junction : phonatory, respiratory, and deglutition; a permanent tracheotomy thus not being necessary. Read More

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