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- Title
Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid.
- Authors
Guinchard, Anne‐Claude; Monnier, Philippe; Jaquet, Yves; Monnier, Yan; Ikonomidis, Christos
- Abstract
Background Partial laryngectomy techniques are challenging, especially in young patients where function has to be preserved without compromising the oncologic outcome. We present a modified laryngectomy technique indicated for tumors invading one hemicricoid. Methods Vertical hemilaryngectomy with reconstruction of neo-glottis by hemi trachea and placement of an endolaryngeal silicon prosthesis for a 21-y old female patient presenting with a synovial sarcoma located on the left arytenoid area. Results The prosthesis was removed at 6 w with tracheotomy closure at 8w post-op. Patient underwent adjuvant radiotherapy. Functional outcome showed good swallowing without aspiration. Voice was hoarse. At 5 years post-op the patient is free of recurrence presenting only mild dyspnea upon effort. Conclusion Vertical hemilaryngectomy including a hemicricoid is feasible with single stage reconstruction by a hemi-trachea of 4 to 5 rings intussuscepted into the thyroid cartilage. The functional outcome is good considering oncologic safety and avoidance of a permanent tracheostomy. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1708-1716, 2016
- Subjects
LARYNGECTOMY; TUMORS; TRACHEOTOMY; RADIOTHERAPY; DYSPNEA
- Publication
Head & Neck, 2016, Vol 38, Issue 11, p1722
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.24476