Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid

© 2016 Wiley Periodicals, Inc..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Head & neck - 38(2016), 11 vom: 21. Nov., Seite 1722-1727

Sprache:

Englisch

Beteiligte Personen:

Guinchard, Anne-Claude [VerfasserIn]
Monnier, Philippe [VerfasserIn]
Jaquet, Yves [VerfasserIn]
Monnier, Yan [VerfasserIn]
Ikonomidis, Christos [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Endolaryngeal stent
Hemicricoidectomy
Journal Article
Larynx
Partial laryngectomy
Sarcoma

Anmerkungen:

Date Completed 02.02.2018

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/hed.24476

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM259637661