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"Almost Forty!": Four Decades of Open Partial Horizontal Laryngectomy-The Evolving Experience of the Italian School of Enrico de Campora.
Head Neck
December 2024
Otolaryngology Department, Isola Tiberina-Gemelli Isola Hospital, Rome, Italy.
Objective: The objective of this study is to provide a retrospective review of the 40-year experience of three oncology referral centers in the field of reconstructive laryngeal surgery.
Materials And Methods: A multi-institutional retrospective analysis included adult patients who underwent reconstructive laryngeal surgery for cT2-T4a laryngeal cancer (LC) between 1 June 1987 and 1 July 2019. Patients were stratified according to the European Laryngological Society classification for open partial horizontal laryngectomy (OPHL).
Postoperative pathological findings and prognosis of early laryngeal and pharyngeal cancer treated with transoral surgery.
Auris Nasus Larynx
December 2024
Department of Otolaryngology-Head and Neck Surgery, Gifu University Graduate School of Medicine, Japan.
Article Synopsis
- Transoral surgery is effective for early-stage pharyngeal and laryngeal cancer, offering good local control with less invasiveness compared to external incisions, but criteria for postoperative treatment remain unclear.
- In a study of 70 patients at Gifu University Hospital, high rates of positive surgical margins were found (38.6% horizontal, 27.1% vertical), yet overall survival rates were strong, with 77.1% surviving five years post-surgery.
- Horizontal margin positivity correlated with worse outcomes, while vascular invasion wasn't significantly linked to prognosis, indicating a need for more research to establish clear postoperative treatment guidelines.
Giant laryngeal neuroendocrine neoplasm causing airway obstruction: A case report and literature review.
Medicine (Baltimore)
May 2024
Shandong Provincial Clinical Research Center for Otorhinolaryngologic Diseases, Yantai Yuhuangding Hospital, Qingdao University, Yantai, P. R. China.
Article Synopsis
- * A 67-year-old man with a sore throat and difficulty breathing underwent an emergency tracheotomy after being found to have a cauliflower-like mass in his larynx, diagnosed as poorly differentiated adenocarcinoma.
- * Following surgery and subsequent chemotherapy and radiotherapy, the patient showed no signs of cancer recurrence after one year, highlighting the importance of aggressive treatment for this rare condition.
Dysphagia After Partial Horizontal Supracricoid Laryngectomy: A Close Look.
Cureus
June 2024
Otolaryngology - Head and Neck Surgery, Instituto Português de Oncologia de Coimbra Francisco Gentil, Coimbra, PRT.
Partial horizontal supracricoid laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) is a conservative surgical alternative for laryngeal cancer in the glottic or supraglottic region. Dysphagia and aspiration are frequently reported consequences of this surgery. We describe the case of a 72-year-old male patient diagnosed with squamous cell carcinoma of the larynx (T2N0M0), who underwent SCPL with CHEP reconstruction.
View Article and Find Full Text PDFTransoral robotic surgery for supraglottic cancer. A review of oncological and functional outcomes compared to open surgery.
Acta Otorhinolaryngol Ital
May 2024
Otorhinolaryngology and Head and Neck Unit, "Santo Spirito" Hospital, Pescara, Italy.
Objective: Supraglottic squamous cell carcinoma (SCC) represents a major surgical challenge in organ-preserving treatment. Type I open partial horizontal laryngectomy (OPHL I) is considered the most popular. To date, minimally-invasive approaches such as laser microsurgery and transoral robotic surgery (TORS) have gained increasing relevance.
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