Management of Bilateral Glottic Tumors

Reino, Anthony J.; Lee, Hee Y.; Lawson, William; Schaefer-Mojica, Jacqueline; Biller, Hugh F.

doi:10.1001/archotol.1997.01900050011001

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…In a recent study by the present authors that compared reconstructive techniques used after bilateral hemilaryngectomy (keel, epiglottoplasty, laryngoplasty), 34 patients underwent keel placement. 21 Fifty percent of the cases were staged as either T2 or T3, and there were 2 preoperative radiotherapy failures. All patients were decannulated after an average of 3 days, were swallowing within 10 days, and had an adequate voice.…”

Section: Discussionmentioning

confidence: 98%

“…In the study by Reino et al, 21 15 patients underwent epiglottic reconstruction of the larynx. Eightyseven percent of cases were staged as T2 or T3.…”

Section: Discussionmentioning

confidence: 99%

“…In 1997, Reino et al 21 published their results in 23 patients using the laryngoplasty technique for glottic reconstruction. Eighty-seven percent of patients were decannulated successfully within 3 weeks, and all were swallowing by 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

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Transverse Infrahyoid Approach to Bilateral Glottic Tumors

Reino¹,

Lawson²,

Biller³

1999

Ann Otol Rhinol Laryngol

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Glottic exposure and entry for vertical partial laryngectomy procedures has traditionally been through the subglottis. Although this approach is generally satisfactory for the resection of unilateral vocal cord lesions, it may be unsafe in cases in which tumors extend across the midline and/or subglottically. In these instances, we prefer the superior transverse infrahyoid approach to the glottis, which transects the petiole of the epiglottis and reflects the contents of the preepiglottic space posterior and superior. This improved visualization of the larynx has permitted precise tumor excision without sacrifice of uninvolved segments of the vocal cords. This procedure has been performed 35 times over a 15-year period at our institution for the resection of bilateral glottic tumors, with and without subglottic extension. In none of the cases in which it has been employed was there a positive surgical margin.

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Section: Discussionmentioning

confidence: 98%

“…In the study by Reino et al, 21 15 patients underwent epiglottic reconstruction of the larynx. Eightyseven percent of cases were staged as T2 or T3.…”

Section: Discussionmentioning

confidence: 99%

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Transverse Infrahyoid Approach to Bilateral Glottic Tumors

Reino¹,

Lawson²,

Biller³

1999

Ann Otol Rhinol Laryngol

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“…Reino et al (8) described a technique for resection of bilateral vocal cord tumours through an infrahyoid approach. This approach, a variation of the subglottic approach employed by Som and Silver (2), provided better control of resection margins and permitted accurate resection of involved regions, including the arytenoid and subglottis.…”

Section: Vertical Proceduresmentioning

confidence: 99%

The Role of Partial Laryngeal Resection in Current Management of Laryngeal Cancer: a Collective Review

Ferlito

Silver²,

Howard³

et al. 2000

Acta Oto-Laryngologica

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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. During the past decade a number of extended CCS procedures have been developed for management of glottic tumours involving both vocal cords and the anterior commissure, the paraglottic space and with vocal cord fixation, and for supraglottic tumours involving the glottis or hypopharynx. TLS has proved an effective, minimally invasive and functionally satisfactory procedure for management of suitable T1 and T2 glottic cancers, and stage I-III supraglottic cancers. The procedure may be effectively employed in combination with neck dissection and postoperative radiotherapy when necessary, particularly for moderately advanced supraglottic carcinomas. SCPL has proven effective in management of glottic and supraglottic cancers of all stages, even with involvement of paraglottic space and thyroid cartilage, provided at least one arytenoid unit can be preserved with clear margins. Invasion of cricoid cartilage is the most significant limitation for this procedure. All three surgical approaches have been employed for irradiation failure, but with greatly increased failure and complication rates compared with the results of treatment of non-irradiated patients. Thus a decision to treat laryngeal cancer initially with irradiation may preclude a satisfactory result from partial laryngectomy should radiation fail. The treatment of laryngeal cancer should be individualized according to the size and extent of the tumour, the age and physical condition of the patient, and the skill and experience of the surgeon with various treatment modalities and surgical procedures.

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Study on topographical distribution of carcinoma larynx

Hossain

Ali

Rahman

et al. 1970

Bangladesh J of Otorhinolaryngology

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Objectives: To find out the sites of involvement of carcinoma larynx. Methods: A cross sectional study was carried out from January, 2006 to December, 2007 at the Department of ENT and Head-Neck Surgery of Dhaka Medical College Hospital, Dhaka. This study included 147 cases with of carcinoma larynx. Results: Among 147 cases in this study near age was 54.53 years the pearl incidence was 6th to 7th decade; male: female rate 28.4: 1. Majority of case were related to cultivation (42.6%), came for rural area (66.7%), socioeconomic group (68%) and illiterate (49.7%). Regarding habit most of them were more than one habits (87.7%) patients were smokers, duration of smoking habit varied from 2 years to more than 40 years and per day consumption from 3-32 sticks. 100% of female had the, habit of betel leaf chewing in this study. The common symptom was hoarseness of voice (93.8%) followed by dysphagia (61.6%) respiratory distress (52.4%), earache (6.8%) cases, haemoptysis and neck pain in small proportion. Indirect larygoscopic examination: Supraglottic carcinoma extension to one dial wall of pyriform fossa and valecular / bare of the tongue were present in (11.5%) and 8.7 cases respectively. 73.4% cases were more then one subsites involvement. Impaired vocal cord morbidity was found in 30.9% and fixed cord was 49.6%, 55.2% cases were airway inadequate, nodal involvement was 46.9%, 98.6% nodal involvement in supraglotic region, 65.2% were NI stage followed by N2 (21.7% and N3 (13%) distribution of the carcinoma larynx were supraglottic 74.10 glottic 25.10% and subglottic 0.70% more than one insite involvement were 88%, in supraglottic epiglottis 5.5%, any epiglottic folds 4.6% or glend 0.9% and ventricular bands were 0.9%. In the subsite of the glottic carcinoma glottic proper 37.8% followed by more then one insite (32.4%) anterior commissure 18.4% and posterior commissure 10.8%, 55% of the patient were Grade II and 49.6% were stage III. Conclusion: Incidence of supraglottic carcinoma was more common, involvement of more than one single site also common. Key words: Carcinoma larynx; supraglottic. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8848 BJO 2011; 17(2): 96-103

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Management of Bilateral Glottic Tumors

Cited by 3 publications

References 18 publications

Transverse Infrahyoid Approach to Bilateral Glottic Tumors

Transverse Infrahyoid Approach to Bilateral Glottic Tumors

The Role of Partial Laryngeal Resection in Current Management of Laryngeal Cancer: a Collective Review

Study on topographical distribution of carcinoma larynx

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