A new extended supracricoid laryngectomy technique for tongue base and hyoid bone involvement: crico-glosso-mandibulopexy technique.
نویسندگان
چکیده
In the conventional supracricoid laryngectomy technique, tumors extending beyond the lingual surface of the epiglottis with tongue base invasion are contraindicated due to the requirement of the hyoid bone resection. The loss of the hyoid bone causes intractable aspiration and renders the cricoidal pexy process impossible. Therefore, surgeons tend to treat such tumors with total or subtotal laryngectomies or organ preservation protocols. In this article, a new supracricoid partial laryngectomy technique for tumors requiring resection of the hyoid bone and the base of the tongue was described.
منابع مشابه
Normal laryngeal CT findings after supracricoid partial laryngectomy.
BACKGROUND AND PURPOSE Supracricoid horizontal partial laryngectomy (SCPL) is increasingly used to treat endolaryngeal carcinoma. However, few radiologic reports of these procedures exist. Our purpose was to evaluate the normal CT appearance of the neolarynx after surgery. METHODS SCPL includes cricohyoidopexy (CHP), cricohyoidoepiglottopexy (CHEP), and tracheocricohyoidoepiglottopexy (TCHEP)...
متن کاملMorphological reconstruction of the neoepiglottis after hyo-sub-glosso-epiglottectomy (anteriorly extended supraglottic laryngectomy).
INTRODUCTION Primary closure (PC) has been used as the standard surgical technique for defects after supraglottic laryngectomy (SL). In the head and neck cancer surgery textbooks and literature, this relatively simple method has also been recommended for the closure of surgical defects after hyo-sub-glosso-epiglottectomy (HSE) or anteriorly extended supraglottic laryngectomy, in which the base ...
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OBJECTIVE Supraglottic laryngectomy is a surgical procedure that preserves laryngeal functions. This technique allows extensions including removal of tongue base or 1 arytenoid. We aimed to compare vocal results of supraglottic laryngectomy and extended procedures. STUDY DESIGN Cross-sectional study. SETTING Tertiary care hospital. SUBJECTS AND METHODS Thirty-three males who underwent sup...
متن کاملModified supracricoid laryngectomy: oncological and functional outcomes in the elderly
BACKGROUND Supracricoid laryngectomy is an organ preservation surgical technique for early-stage glottic tumors. Modified supracricoid laryngectomy using sternohyoid muscles for neoglottis reconstruction is a new surgical technique. This report evaluates oncological and functional outcomes of this new technique and its feasibility in elderly patients. METHODS Clinical records from 21 consecut...
متن کاملThe role of cricohyoidoepiglottopexy in the era of transoral laser surgery and radio/chemotherapy
Dear Editor, We would like to take the opportunity to comment our point of view on the current role of cricohyoidoepiglottopexy in the treatment of laryngeal squamous cell carcinoma (LSSC). Since 1984 our group has performed 456 supracricoid partial laryngectomies (SPL), 81 of which were crico-hyoid-epiglottopexies (CHEP). We used this technique in T1, T2 and in selected T3 LSCC. Over the years...
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ورودعنوان ژورنال:
- Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
دوره 24 3 شماره
صفحات -
تاریخ انتشار 2014