Debulking obstructing laryngeal cancers to avoid tracheotomy

Gül, Fatih; Teleke, Yagmur Canan; Yalçıner, Gökhan; Babademez, Mehmet Alı

doi:10.1016/j.bjorl.2019.07.004

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…Tracheostomy as a procedure to bypass the obstruction in a stridorous patient will only succeed if the lesion is immediately below the vocal cords or in the larynx. Even in the majority of such patients, excision will be possible without tracheostomy, as has been seen in patients with laryngeal 27 The nasal disease is notorious for bleeding both spontaneously as well as during handling. 28 This is likely due to upper respiratory tract mucosa being highly vascular and the chronic, indolent granulomatous inflammatory nature of the disease.…”

Section: Discussionmentioning

confidence: 99%

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Rigid Bronchoscopic Management of Tracheobronchial Rhinosporidiosis Report of 5 Cases and Systematic Review of Literature

Srinivasan¹,

Vallandaramam²,

Sivaramakrishnan³

2023

Journal of Bronchology &Amp; Interventional Pulmonology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rigid Bronchoscopic Management of Tracheobronchial Rhinosporidiosis Report of 5 Cases and Systematic Review of Literature

Srinivasan¹,

Vallandaramam²,

Sivaramakrishnan³

2023

Journal of Bronchology &Amp; Interventional Pulmonology

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“…This is a common practice, as the device allows regulation of the upper airways, which in laryngeal cancer are affected by cancer cells. Thus, this is a means of providing satisfactory respiratory support to the patient, but, as adverse effects, oral communication is hindered [22,23].…”

Section: Discussionmentioning

confidence: 99%

Radiotherapy Symptoms in Head and Neck Cancer Patients in Northeast Brazil

Horta¹,

Oliveira²,

Oliveira³

et al. 2020

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Objective: To describe the symptoms of radiotherapy in head and neck cancer patients and the time of initial onset of those. Material and Methods: All ethical precepts were followed, and the present study was approved by CEP number 92772318.8.0000.5546. The data collection in 41 head and neck cancer patients were performed by applying a questionnaire adapted by the researchers based on the EORTC QLQ-H & N35 protocol. The questionnaire consisted of 19 closed questions focusing on the adverse effects ofradiotherapy. Results: Most participants were male, with laryngeal cancer being the one with the highest incidence. Among the deleterious symptoms, the ones with more occurrence were weight loss, xerostomia, dysphagia and use of catheters. They appeared at the beginning of treatment, between the 6th and 10th session of radiotherapy. Symptoms such as social/family difficulties and oral communication had been present since the beginning of the treatment, extending to those who had completed the therapeutic procedure. Conclusion: Adverse symptoms are common in patients undergoing radiotherapy treatment for head and neck cancer, and mostly include aspects related to the eating process with involvement at the beginning of the treatment.

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“…The carbon dioxide laser, introduced in the 1980s as a treatment modality for laryngeal cancer, has been found to be more suitable than traditional methods [58]. This technique, when available, was considered to buy time, allowing for elective staging of the laryngo-hypopharyngeal tumor, as well as obtaining appropriate patient consent [59,60]. Should such facilities or staffing may not be readily available, then a tracheostomy must be performed [56,61,62 ▪▪ ].…”

Section: Pre-treatment Tumor Debulking Vs Emergency Tracheostomymentioning

confidence: 99%

Peristomal recurrence following primary total laryngectomy: the enigma of the central compartment neck lymph nodes

Bradley¹

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewThe practice of primary total laryngectomy (TL) for advanced laryngo-hypopharyngeal cancer has significantly declined in the developed countries. The treatment options most frequently adopted have changed from open surgery to transoral laser or robotic approaches or nonsurgical (bio-chemo-) radiotherapy. Primary TL remains the treatment of choice in the developing world where healthcare resources are limited, especially for the treatment of cancer. Recent findingsPeristomal recurrence (PSR) is quite a serious complication, with an incidence of 6.6% from the published literature (mainly concerning the developed world), most diagnosed within 2 years, and associated with >80% mortality. The major risk factors include pretreatment tracheostomy, specific primary tumor subsites, positive surgical margins, and presence of nodal metastasis. The treatment options are limited and most success has been observed with surgery, especially when PSR is diagnosed at an early-stage, which is uncommon. Treatment of advanced-stage disease is usually palliative. Reduction and/or prevention of the known risk factors for PSR remain the goal when performing TL. In particular, central compartment (paraand pretracheal) lymph nodes dissection in case of large tumors with extra-laryngeal and/or subglottic extension or pretreatment tracheotomy plays a paramount role in PSR prevention. SummaryResearch is required to conclude the formulation of guidelines for proper dissection of the central compartment (level VI) lymph nodes as indicated either prophylactically or therapeutically during TL for preventing PSR.

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Debulking obstructing laryngeal cancers to avoid tracheotomy

Cited by 4 publications

References 13 publications

Rigid Bronchoscopic Management of Tracheobronchial Rhinosporidiosis Report of 5 Cases and Systematic Review of Literature

Rigid Bronchoscopic Management of Tracheobronchial Rhinosporidiosis Report of 5 Cases and Systematic Review of Literature

Radiotherapy Symptoms in Head and Neck Cancer Patients in Northeast Brazil

Peristomal recurrence following primary total laryngectomy: the enigma of the central compartment neck lymph nodes

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