Computerized Axial Tomography in the Assessment of Thyroid Cartilage Invasion by Laryngeal Carcinoma: A Prospective Study

Nathan, Marshall D.; Gammal, T el; Hudson, James H.

doi:10.1177/019459988008800618

Cited by 13 publications

(1 citation statement)

References 15 publications

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“…Eine bisher klinisch wenig umgesetzte, von Nakayama [22] Die im methodischen Teil der vorliegenden Arbeit ausführlich erörterte intraduktalen [4] Karzinominfiltration sowohl in den bildgebenden [23] als auch für die endoskopischen Verfahren [1]. Selbst im Spiral-CT kann aufgrund der meist unvollständigen und unregelmäßigen Ossifikation ein noch knorpeliger Thyroidbereich von einer Karzinominfiltration häufig nicht unterschieden werden.…”

Section: Diskussionunclassified

Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

Schröder

Eckel

Jungehülsing

et al. 1997

HNO

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Management of laryngeal carcinoma located at the anterior commissure remains controversial. Local control rates with radiotherapy or surgery are not as good as those seen after treatment of midcord lesions. The vertical partial laryngectomy with epiglottic reconstruction (VPLER) may be a more successful approach to such lesions. The charts of all patients treated for larynx carcinoma between 1991 and 1996 at the authors' institutions were reviewed to identify those patients treated with VPLER as described by Sedlacek in 1965, Kambic in 1976 and Tucker in 1979. Indications for performing surgery and outcome data of patients were collected and analyzed according to the indications for surgery, surgical technique, perioperative complications, oncological outcomes and functional results. Twelve patients were identified that had been treated with VPLER. Indications for surgery included five patients with local recurrences following endoscopic laser partial laryngectomies, four cases with previously untreated primary tumors at the anterior commissure (T2 N0-2 M0), two with local recurrences following radiotherapy, and one with recurrence following frontolateral partial laryngectomy. There were no postoperative complications except for one laryngocutaneous fistula that required secondary repair. All patients were able to swallow at the tenth postoperative day. All had their tracheostomies closed after completion of wound healing, (a mean of 17 days after surgery). Phonatory results were usually poor. Two local recurrences occurred during the follow-up period. However, both patients were salvaged with total laryngectomies and have since been free from disease. All other patients are alive and well. Our findings show that VPLER is an effective surgical approach for carcinoma at the anterior commissure of the larynx that cannot be adequately managed with transoral laser surgery or simple frontolateral partial laryngectomy. This study demonstrates that the procedure can be successfully applied to the treatment of local recurrences following initial radiotherapy or surgery. No major complications occurred in our study.

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Section: Diskussionunclassified

Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

Schröder

Eckel

Jungehülsing

et al. 1997

HNO

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T Staging of the Laryngohypopharyngeal Carcinoma: A 7-Year Multidisciplinary Experience

Sulfaro

Barzan²,

Querin³

et al. 1989

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Sixty-six whole-organ sectioned, nonirradiated, laryngopharyngectomy specimens that were removed because of cancer during a 7-year period were uniformly examined to determine the accuracy of pericperative T staging by hi gh\x=req-\ resolution computed tomography (CT) and clinical evaluation (indirect-direct laryngoscopy) by comparing this preoperative staging with the postsurgical pathologic staging. The accuracy of the clinical vs CT staging for laryngeal carcinomas was 58.8% vs 70.6%, whereas the accuracy of the staging by combination of the two modalities was 88.2%. Combined staging modalities showed the same accuracy for laryngeal and hypopharyngeal carcinomas (88.2%), whereas clinical staging accuracy for hypopharyngeal carcinomas was lower (52.9%) and CT accuracy was higher (82.4%) than that observed for laryngeal carcinomas. In the majority of the cases that were staged inaccurately, the error was one of underestimation: in particular, tumors confined to the mucosa and early infiltration of laryngeal fat spaces were not detected by CT.

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Erkrankungen des Hypopharynx und Larynx

Lenz¹,

Klier²,

Ozdoba³

et al. 1991

Gesichtsschädel Felsenbein · Speicheldrüsen · Pharynx · Larynx Halsweichteile

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Computerized Axial Tomography in the Assessment of Thyroid Cartilage Invasion by Laryngeal Carcinoma: A Prospective Study

Cited by 13 publications

References 15 publications

Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

T Staging of the Laryngohypopharyngeal Carcinoma: A 7-Year Multidisciplinary Experience

Erkrankungen des Hypopharynx und Larynx

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