Near-total Laryngectomy: An Oncologically Safe Alternative

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چکیده

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Near-total laryngectomy.

OBJECTIVE To demonstrate the oncological and physiological safety of near-total laryngectomy (NTL), its versatility for use following extensive resections that necessitate pharyngoplasty, in post radiation recurrences and its success in voice conservation. To highlight the importance of a "maintenance free biological shunt" for voice production in patients of advanced laryngeal and pharyngeal c...

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Electromyography in near-total laryngectomy.

OBJECTIVE To investigate the dynamics of speech shunt muscle in patients with Pearson near-total laryngectomy by needle electromyography and correlation of ability to activate shunt muscle with speech production. DESIGN AND SETTINGS Prospective study of patients with near-total laryngectomy at 2 hospital-based academic tertiary care centers. PARTICIPANTS AND INTERVENTION Fourteen patients w...

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Current status of near-total laryngectomy: review.

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 alt...

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ژورنال

عنوان ژورنال: International Journal of Phonosurgery & Laryngology

سال: 2014

ISSN: 2230-7508,2231-3702

DOI: 10.5005/jp-journals-10023-1076