Near-Total Laryngectomy for Laryngeal Carcinomas With Subglottic Extension

Aslan, İsmet; Başerer, Nermin; Yazicioğlu, Engin; Oysu, Çağatay; Tinaz, Mehmet; Kiyak, Erkan; Biliciler, Necdet

doi:10.1001/archotol.128.2.177

Cited by 12 publications

(15 citation statements)

References 24 publications

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“…The five-year survival rates for transglottic, supraglottic and subglottic cancers were 65.8, 53.8 and 20 per cent, respectively. 10 The presence of subglottic extension increased the risk of local and peristomal recurrence. Thakar et al also found inferior functional outcomes for near-total laryngectomy in cases with subglottic extension.…”

Section: Oncological Safetymentioning

confidence: 99%

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Current status of near-total laryngectomy: review

2012

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Concurrent chemoradiation is currently the accepted 'standard of care' for locally advanced laryngeal and hypopharyngeal cancers. However, there is a subset of patients not suitable for chemoradiation, in whom primary surgery is the best option. Speech preservation is of prime importance in these patients. Near-total laryngectomy is a voice-preserving procedure which can be considered as an alternative to total laryngectomy for selected patients with lateralised, locally advanced cancers of the larynx and hypopharynx. Although these patients are left with a permanent tracheostomy, lung-powered speech is maintained by way of a dynamic shunt created from the uninvolved tissues of the larynx. Since its first description in the early 1980s, the procedure has been shown by various authors to be oncologically sound, with high success rates. Unfortunately, the procedure has not gained wide acceptance due to perceived fears of surgical complexity. In this review, we discuss the various issues related to the procedure and we review the relevant literature.

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Section: Oncological Safetymentioning

confidence: 99%

“…4,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23] CURRENT STATUS OF NEAR-TOTAL LARYNGECTOMY…”

Section: Oncological Safetyunclassified

Current status of near-total laryngectomy: review

2012

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“…In turn, this may influence prognosis and treatment decision‐making. For example, it has been suggested that use of organ preservation strategies such as radiotherapy or partial laryngectomy techniques may be less effective in T2 glottic tumours with subglottic spread, where more aggressive primary management such as total laryngectomy may produce better long‐term outcomes . Furthermore, use of an angled HR endoscope allows better visualisation of the anterior commissure and arytenoids, involvement of which again impacts on treatment decisions.…”

Section: Discussionmentioning

confidence: 99%