Partial laryngectomy as salvage surgery for radiation failures in T1–T2 laryngeal cancer

Rodrı́guez-Cuevas, Sergio; Labastida, Sonia; González, Domingo; Briseño, Nicolas; Cortes, Hector

doi:10.1002/(sici)1097-0347(199810)20:7<630::aid-hed9>3.0.co;2-k

Cited by 53 publications

(44 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Institutional studies have demonstrated that 32% to 52% of patients with early-stage recurrent cancer after RT are candidates for salvage with CLS. 28,[38][39][40] Even in the N0 recurrent laryngeal cancer, prophylactic neck dissection should be considered, although this procedure should be considered individually across the laryngeal subsites. A retrospective review reported a 0% incidence of occult cervical metastases with T1 and T2 glottic cancer.…”

Section: Introductionmentioning

confidence: 99%

Salvage Conservation Laryngeal Surgery After Radiation Therapy Failure

Chen

Holsinger

Laccourreye

2015

Otolaryngologic Clinics of North America

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Salvage Conservation Laryngeal Surgery After Radiation Therapy Failure

Chen

Holsinger

Laccourreye

2015

Otolaryngologic Clinics of North America

View full text Add to dashboard Cite

“…In Mexico, this type of treatment is not an exception because it constitutes the main treatment modality in most oncological centers. However, according to a review of the literature there is only one series published in our country by Rodríguez Cuevas et al [7], which demonstrates recurrence but does not accurately reflect the recurrence of glottic carcinoma after radiotherapy in Mexican patients. Total laryngectomy continues to be the most frequently used procedure with postradiotherapy recurrence.…”

Section: Introductionmentioning

confidence: 99%

Supracricoid partial laryngectomy with cricohyoidoepiglottopexy in patients with radiation therapy failure

et al. 2009

View full text Add to dashboard Cite

BackgroundTo assess functional results, complications, and success of larynx preservation in patients with recurrent squamous cell carcinoma after radiotherapy.MethodsFrom a database of 40 patients who underwent supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) from June 2001 to April 2006, eight patients were treated previously with radiotherapy due to squamous cell carcinoma of the glottic region and were treated for recurrence at the site of the primary cancer.ResultsSCPL with CHEP was performed in six men and two women with a mean age of 67 years due to recurrence and/or persistence at a mean time of 30 months postradiotherapy (in case #8 after concomitant chemoradiotherapy). Bilateral neck dissection at levels II-V was performed in six patients. Only case #8 presented metastasis in one node. In case #5, Delphian node was positive. It was possible to preserve both arytenoids in five cases. Definitive surgical margins were negative. Complications were encountered in seven patients. Follow-up was on average 44 months (range: 20-67 months). Organ preservation in this series was 75%, and local control was 87%. Overall 5-year survival was 50%.ConclusionsIn selected patient with persistence and/or recurrence after radiotherapy due to cancer of the larynx, SCPL with CHEP seems to be feasible with acceptable local control and toxicity. Complications may occur as in previously non-irradiated patients. These complications must be treated conservatively to avoid altering laryngeal function.

show abstract

“…Most articles that deal with recurrent laryngopharyngeal carcinomas analyze the outcome of salvage treatment and do not evaluate the diagnostic modalities [8,9]. Even studies that analyze voice preservation salvage surgery do not mention diagnostic modalities [5,6,10].…”

Section: Introductionmentioning

confidence: 99%