Partial Laryngectomy with Cricoid Reconstruction: Thyroid Carcinoma Invading the Larynx
نویسندگان
چکیده
Laryngotracheal invasion worsens the prognosis of thyroid cancer and the surgical approach for laryngotracheal invasion is controversial. In this paper, partial full-thickness excision of the cricoid cartilage with supracricoid laryngectomy and reconstruction of existing defect with thyroid cartilage are explained in a patient with papillary thyroid carcinoma invading the thyroid cartilage and cricoid cartilage without intraluminal invasion. Surgical indication should not be established by the site of involvement in thyroid carcinomas invading the larynx, as in primary cancers of the larynx. We think that partial laryngectomy according to the involvement site and the appropriate reconstruction techniques should be used for thyroid cancer invading the larynx.
منابع مشابه
Thyroid gland invasion in advanced squamous cell carcinoma of the larynx and hypopharynx.
INTRODUCTION Squamous cell carcinoma of the larynx and hypopharynx has the potential to invade the thyroid gland. Despite this risk, the proposition of either partial or total thyroidectomy as part of the surgical treatment of all such cases remains controversial. OBJECTIVES To evaluate the frequency of invasion of the thyroid gland in patients with advanced laryngeal or hypopharyngeal squamo...
متن کاملNormal 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 کاملSeptal graft in laryngeal reconstruction.
A 62-year-old woman presented with symptoms of dyspnea. Ultrasonography and computed tomography examinations revealed mass extending from the cricoid cartilage to the left lobe of thyroid gland and thyroid cartilage. Cytology revealed possibility of cartilaginous origin, which was proven to be chondrosarcoma Grade 1 from the biopsy specimen obtained during panendoscopy. She underwent one stage ...
متن کاملA classification system for the reconstruction of vertical hemipharyngolaryngectomy for hypopharyngeal squamous cell carcinoma.
OBJECTIVE To evaluate microvascular reconstruction of a vertical hemipharyngolaryngectomy (VHPL) defect for hypopharyngeal squamous cell carcinoma. DESIGN Retrospective analysis of medical records. SETTING Tertiary care referral center. PATIENTS Thirty-two patients who underwent a VHPL. MAIN OUTCOME MEASURES Assess the surgical technique and safety of VHPL and review the functional para...
متن کامل[The application of epiglottis in laryngeal function reconstruction after partial laryngectomy].
OBJECTIVE To observe the appliance value of epiglottis in laryngeal function reconstruction after partial laryngectomy. METHODS Thirty-two cases of glottic and superglottic carcinomas of larynx had conducted partial laryngectomy and the laryngeal function was reconstructed using epiglottis from December. 1992 to January 1996. RESULTS Nineteen of the twenty-one glottic carcinomas and five of...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
دوره 2014 شماره
صفحات -
تاریخ انتشار 2014