24 results match your criteria Conservation Laryngeal Surgery Vertical Partial Laryngectomy

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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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http://dx.doi.org/10.1016/j.otc.2015.04.011DOI Listing
August 2015
15 Reads

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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http://dx.doi.org/10.1002/hed.21739DOI Listing
May 2012
14 Reads

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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http://dx.doi.org/10.1159/000316649DOI Listing
January 2011
5 Reads

[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
27 Reads
1 Citation
0.322 Impact Factor

[The therapeutic outcomes of surgery on senile patients with laryngeal carcinoma].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2007 Aug;21(15):688-91

Department of Otolaryngology, Head and Neck Surgery, Affiliated First People's Hospital of Shanghai Jiaotong University, Shanghai, 200080, China.

Objective: To investigate the therapeutic outcomes of Laryngectomy and prognostic factors in senile patients with laryngeal carcinoma.

Method: A retrospective study of long-term therapeutic outcomes was performed on 110 patients with laryngeal carcinoma over 65, treated mainly by surgery, from 1990 to 2005. Different kinds of operations were as follows: cordectomy(1 case) or stripping (2 cases) by suspended laryngoscope, laryngofissure (4 cases), vertical partial laryngectomy without tracheotomy (8 cases), vertical partial laryngectomy (8 cases), extended vertical partial laryngectomy (1 case), horizontal laryngectomy (4 cases), subtotal laryngectomy (4 cases), cricohyoidoepiglottopexy (30 cases), Arslan's procedure (8 cases), and total laryngectomy (40 cases). Read More

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August 2007
13 Reads

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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http://dx.doi.org/10.1007/s00405-006-0137-4DOI Listing
October 2006
8 Reads

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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http://dx.doi.org/10.1097/01.mlg.0000154751.86431.41DOI Listing
February 2005
5 Reads

Conservation laryngeal surgery.

Authors:
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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July 2001
3 Reads

Partial laryngectomy for recurrent laryngeal carcinoma.

Clin Otolaryngol Allied Sci 2000 Apr;25(2):146-52

Head and Neck Unit, Royal Marsden Hospital, London, UK.

From July 1975 to January 1998, 33 patients underwent partial laryngeal resection for residual or recurrent tumour after primary radical radiotherapy. Sixteen patients had T1 tumours on presentation, 14 were T2 and three were T3. Six patients underwent a supraglottic (horizontal) laryngectomy, 24 had a vertical partial laryngectomy, two had an endoscopic laser resection and one had an endoscopic laser resection followed by a vertical partial laryngectomy. Read More

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April 2000
5 Reads

Ten-year experience with cervical miniesophagostomy.

Authors:
G Har-El

Ann Otol Rhinol Laryngol 1999 Dec;108(12):1111-4

Department of Otolaryngology, State University of New York-Health Science Center at Brooklyn, 11203, USA.

This report describes our experience with 35 patients who underwent intraoperative transcutaneous cervical miniesophagostomy (TCME) during conservation laryngeal and/or hypopharyngeal surgery. The TCME was designed to provide enteral alimentation without the need for a nasogastric tube. Nasogastric tubes may cause posterior laryngeal inflammation, granulations, muscle damage, and vocal cord immobility. Read More

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http://dx.doi.org/10.1177/000348949910801202DOI Listing
December 1999
6 Reads

Conservation surgery for recurrent carcinoma of the glottic larynx.

Am J Surg 1996 Dec;172(6):662-4

Head and Neck Service Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.

Background: Partial laryngectomy following previous irradiation is an oncologically sound procedure with excellent local control and survival rates. Several reports suggest an increased complication rate in previously irradiated patients.

Methods: To analyze whether previous irradiation affected complications, disease control, or survival we performed a retrospective analysis of all patients who underwent vertical partial laryngectomy (VPL) for squamous cell carcinoma of the glottic larynx between January 1984 and August 1993. Read More

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December 1996
4 Reads

[The use of hyoid osteomuscular flap in extended partial laryngectomy].

Authors:
G Tu P Tang Y He

Zhonghua Er Bi Yan Hou Ke Za Zhi 1996 ;31(1):39-42

Cancer Hospital, CAMS, Beijing

The surgical defect after conventional partial laryngectomy practically needs no special technique to repair. On conservation surgery for late (T3 and T4) cases a large part of the larynx is to be resected so that the margin of surgical clearance is ample and, at the same time, an appropriate method of reconstruction is mandatory to restore the essential functions of the larynx. For this purpose we developed a technique of osteomuscular flap to repair the defect left behind after a three-fourths laryngectomy (for supraglottic case) or an extended vertical partial laryngectomy (for glottic case). Read More

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October 1997
43 Reads

"Window" laryngoplasty: a new combined laser endoscopic and open technique for conservation surgery.

Ann Otol Rhinol Laryngol 1994 Sep;103(9):679-85

Department of Otolaryngology-Head and Neck Surgery, Lahey Clinic, Burlington, Massachusetts.

Endoscopic laser resection of early laryngeal carcinoma is an increasingly used treatment modality; however, the limited exposure achieved and the alteration of vocal function are still major problems. A new surgical procedure, "window" laryngoplasty, has been devised and tested in an in vivo study in 6 canines with 50 days' survival. The right vocal cord was incised endoscopically with the carbon dioxide laser, and the en bloc specimen with adjacent thyroid cartilage was removed through a window approach made in the thyroid cartilage. Read More

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http://dx.doi.org/10.1177/000348949410300904DOI Listing
September 1994
5 Reads

[Function preserving laryngeal cancer surgery in Hungary-- a historical retrospect and 25 years personal experiences].

Authors:
J Czigner

Laryngorhinootologie 1993 Sep;72(9):417-20

Hals-Nasen-Ohren-Klinik, Med. Universität Szeged, Ungarn.

The continuity in the trends in conservation and surgery in the Hungarian laryngology are emphasized. The first Hungarian book on this topic, "Diseases of the Larynx" by Navratil, was published 127 years ago ("A gégebajok", Pest, 1866). Onodi popularized the laryngectomy and the results of the surgery of laryngeal carcinoma in the first two decades. Read More

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http://dx.doi.org/10.1055/s-2007-997928DOI Listing
September 1993
7 Reads

Role of partial laryngectomy after irradiation in the treatment of laryngeal cancer: a view from the United Kingdom.

Authors:
H J Shaw

Ann Otol Rhinol Laryngol 1991 Apr;100(4 Pt 1):268-73

Head and Neck Unit, Royal Marsden Hospital, London, England.

This retrospective study evaluates the use of conservation surgical salvage techniques in cases of early (T1 and T2) laryngeal cancer after full-dose external irradiation. Fifty patients in one London hospital and 68 patients in another were studied for the period 1963 to 1988. Treatment policy directed that the majority of limited glottic and supraglottic tumors should be treated initially by external irradiation. Read More

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http://dx.doi.org/10.1177/000348949110000402DOI Listing
April 1991
4 Reads

Analysis of prognostic variables and results after vertical partial laryngectomy.

Am J Surg 1988 Oct;156(4):264-8

Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York.

A consecutive series of 197 patients who underwent conservation surgery for squamous cell carcinoma of the glottic larynx was analyzed. The majority of patients were male. One hundred forty-one had stage I disease, 44 had stage II, and 12 had stage III disease at the time of treatment. Read More

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October 1988
3 Reads

A view of partial laryngectomy in the treatment of laryngeal cancer.

Authors:
H J Shaw

J Laryngol Otol 1987 Feb;101(2):143-54

Attention is drawn to the problems of surgical resection by partial laryngectomy after full therapeutic dosage of telecobalt irradiation. Material is presented from two treatment centres to indicate trends in surgical treatment and the complications experienced. Results will be given which confirm a reasonable expectation of cure and functional conservation by vertical partial laryngectomy for recurrence of glottic cancer after irradiation. Read More

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February 1987
4 Reads

[Critical study and role of partial vertical reconstructive laryngectomies with epiglottoplasty by the Tucker method. Apropos of 18 cases].

Ann Otolaryngol Chir Cervicofac 1987 ;104(5):323-8

Service d'ORL et de Chirurgie Cervico-Faciale, Centre Hospitalier Intercommunal, Créteil.

Two groups could be distinguished in a series of 18 patients with glottic lesions: one with pure glottic tumors (12 cases) and the other with tumors extending beyond the glottic region (6 cases). All patients but one were operated upon by first intention for epidermoid carcinoma, but also for associated pronounced dysplasia. The so-called Tucker technique was used with slight modifications (less extensive resection of thyroid cartilage, conservation of the two arytenoid cartilages). Read More

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December 1987
4 Reads

Vertical partial laryngectomy for recurrent glottic carcinoma after irradiation.

Head Neck Surg 1985 May-Jun;7(5):390-3

Department of Otolaryngology and Head and Neck Surgery, Free University Hospital, Amsterdam, the Netherlands.

Vertical partial laryngectomy after a full course of irradiation was performed in 26 patients as salvage surgery for recurrent or residual glottic carcinoma. An excellent cure rate and conservation of function was obtained, while complications were few. A prerequisite for this type of surgery is a limited extent and infiltration of the recurrent local tumor growth. Read More

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May 1988
3 Reads

The place of partial laryngectomy in the treatment of laryngeal cancer--a view from the U.K.

Authors:
H J Shaw

Auris Nasus Larynx 1985 ;12 Suppl 2:S182-90

Attention is drawn to the problems of surgical resection by partial laryngectomy after full therapeutic dosage of Telecobalt irradiation. Material is presented from two treatment centres to indicate trends in surgical treatment and the complications experienced. Results will be given which confirm a reasonable expectation of cure and functional conservation by vertical partial laryngectomy for recurrence of glottic cancer after irradiation. Read More

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July 1986
5 Reads

[Results of surgical treatment of early glottic carcinoma (author's transl)].

HNO 1981 Feb;29(2):41-6

From 1965 to 1975 conservation laryngeal surgery was performed on 249 patients with precancerous lesions and early carcinoma of the vocal cords. Clinical staging determined the type of surgery (vocal cord stripping, cordectomy, vertical partial laryngectomy and hemilaryngectomy) to be performed. Most (about 80 per cent) glottic carcinomas were T1 or T2 lesions. Read More

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February 1981
4 Reads

The management of laryngeal cancer.

Authors:
D P Bryce

J Otolaryngol 1979 Apr;8(2):105-26

Carcinoma of the larynx is best managed in an interdisciplinary centre with wide therapeutic and rehabilitative services. Current management is confused, but may be simplified by consideration of three groups: 1) no fixation of laryngeal structures, 2) fixation of laryngeal structures and extension beyond the larynx, 3) all others including carcinoma in situ, verrucous carcinoma, transglottic tumor, and squamous carcinoma with marked airway obstruction. The rational treatment of Group 1 glottic tumors is primary radiation, which produces 75% crude and 92% corrected five year tumor free survival. Read More

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April 1979
7 Reads

Partial laryngectomy for recurrent cancer after irradiation.

Clin Otolaryngol Allied Sci 1978 Feb;3(1):49-62

Attention is drawn to the problems of surgical resection by partial laryngectomy after full therapeutic dosage of Telecobalt irradiation. Material is presented from 2 main treatment centres to indicate trends in surgical treatment and the complications experienced. End results are given which confirm a reasonable expectation of cure and functional conservation by vertical partial laryngectomy for recurrence of glottic cancer after irradiation. Read More

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February 1978
3 Reads

Radiologic-pathologic correlations in laryngeal carcinoma.

Can J Otolaryngol 1975 ;4(1):86-97

Radiological examinations are a prerequisite for accurate assessment of laryngeal tumors, especially when contemplating partial (voice conservation) surgery. The clinical assessments and preoperative radiographs from five cases have been compared with the histologic findings in whole organ serial sections of the laryngectomy specimens. These studies demonstrated both the accuracies and the deficiencies of the present clinical and radiologic examination methods. Read More

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September 1975
9 Reads
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