Current status of near-total laryngectomy: review

D’Cruz, Anil; Sharma, Shilpi; Pai, Prathamesh

doi:10.1017/s0022215112000424

Cited by 12 publications

(17 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contraindications include tumor involvement of the interarytenoid and postcricoid and inability to preserved two‐thirds of the contralateral vocal cord. Studies have found that disease control rates were comparable in near total laryngectomy compared to total laryngectomy/laryngopharyngectomy . This procedure is not routinely performed.…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

AHNS Series: Do you know your guidelines? Review of current knowledge on laryngeal cancer

et al. 2017

View full text Add to dashboard Cite

The following article is part of a series in an initiative by the American Head and Neck Society's Education Committee and will review clinical practice guidelines for head and neck oncology. The primary goal is to increase awareness of current best practices pertaining to head and neck surgery and oncology. This manuscript is a review of current knowledge in laryngeal cancer with a focus on anatomy, epidemiology, diagnosis, evaluation, and treatment. K E Y W O R D Shead and neck cancer, laryngeal cancer | I NT ROD UCTI ONThe larynx is critical in the function of swallow, speech, and respiration. The larynx is a structure responsible for maintaining and protecting the airway, vocalization, and protecting the lungs from inhaled gases, liquids, and solids. Elevation of the larynx aids in swallowing function, and the ability to generate pressure with glottis closure is important for straining and gastrointestinal function. Malignancies that affect the larynx have an impact on all of the physiologic functions of the larynx in varying degrees. Laryngeal cancer is the second most common head and neck cancer worldwide. This article provides an overview of our current knowledge on laryngeal cancer, including anatomy, epidemiology, diagnosis, evaluation, and treatment.

show abstract

Section: Treatmentmentioning

confidence: 99%

“…Studies have found that disease control rates were comparable in near total laryngectomy compared to total laryngectomy/laryngopharyngectomy. 51 This procedure is not routinely performed.…”

Section: Near Total Laryngectomymentioning

confidence: 99%

AHNS Series: Do you know your guidelines? Review of current knowledge on laryngeal cancer

et al. 2017

View full text Add to dashboard Cite

show abstract

“…This is perhaps related to the perception that it is technically challenging [4]. that will include a permanent stoma, this stoma could be of two types -a traditional permanent stoma following total laryngectomy or a permanent stoma associated with near total laryngectomy.…”

Section: Key Pointsmentioning

confidence: 99%

Laryngectomy rehabilitation

Hinni

Crujido

2013

Current Opinion in Otolaryngology & Head and Neck Surgery

View full text Add to dashboard Cite

Optimum outcomes for vocal rehabilitation following laryngectomy suggest the need for careful multidisciplinary perioperative planning and therapy. There have been improvements in tracheo-esophageal prosthesis design, moisturization, and ease of speech generation. Additional research is needed to explore the relationship between speech and chest wall kinematics, puncture site and location, prosthesis leakage, and the potential relationships to gastro-esophageal reflux disease. Future effort should be directed toward measurable improvements in the quality of life.

show abstract

“…Concurrent chemoradiation has emerged as the 'standard of care' in the management of laryngeal and hypopharyngeal cancers. 1 However, for patients who are not suited for chemoradiation, total laryngectomy continues to be the treatment of choice. Total laryngectomy is associated with a permanent loss of voice, necessitating a tracheoesophageal prosthesis (TEP) for speech restoration.…”

Section: Introductionmentioning

confidence: 99%

Surgical alternative to tracheoesophageal prosthesis for voice preservation in selected hypopharyngeal carcinoma

Choudhary

Jaitly

Verma

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Pearson’s near-total laryngectomy (NTL) is a voice- preserving alternative to total laryngectomy in patients with advanced but localized laryngeal and hypopharyngeal cancers, wherein lung- powered speech is achieved by creation of a dynamic biological trachea-pharyngeal shunt. Report our experience with NTL in a series of 24 patients.Methods: A prospective case series analysis was done at VMMC and Safdarjung Hospital from January 2014- September 2019 after attaining ethical clearance. 24 patients with lateralized, locally a post- cricoid areas were included in the study. Patients who had involvement of the post cricoid region, interarytenoid region or involvement of bilateral cricoarytenoid units were excluded from the study. The subjects underwent Pearson’s NTL and were followed- up to examine for disease- control and functional results.Results: 22 patients (91.6%) attained a good quality voice following surgery with 2 patients (8.3%) developing minor aspiration problems. 1 patient (4.16%) developed local recurrence after 5 months. Surgical complications were surgical site infection (20.8%), pharyngocutaneous fistula (16.67%) and shunt stenosis (4.16%).Conclusion: NTL is an oncologically safe alternative to total laryngectomy in selected patients and is capable of achieving excellent functional results with minimal surgical complications and post-operative maintenance.

show abstract

Current status of near-total laryngectomy: review

Cited by 12 publications

References 27 publications

AHNS Series: Do you know your guidelines? Review of current knowledge on laryngeal cancer

AHNS Series: Do you know your guidelines? Review of current knowledge on laryngeal cancer

Laryngectomy rehabilitation

Surgical alternative to tracheoesophageal prosthesis for voice preservation in selected hypopharyngeal carcinoma

Contact Info

Product

Resources

About