A nine-year institutional experience with near-total laryngectomy

Kavabata, Norberto Kodi; Neto, Abilio L.Silva; Gonçalves, Antônio José; Alcadipani, Fernando Antônio Maria Claret; Menezes, Marcelo Benedito

doi:10.1016/j.amjsurg.2003.12.071

Cited by 6 publications

(18 citation statements)

References 16 publications

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“…4,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23] CURRENT STATUS OF NEAR-TOTAL LARYNGECTOMY…”

Section: Oncological Safetyunclassified

“…Kavabata et al reported shunt stenosis in one of 15 cases who failed to attain speech. 17 In our previous series, the incidence of shunt stenosis was 6.6 per cent. 7 Aspiration.…”

Section: Complicationsmentioning

confidence: 99%

“…8,9,17,22 In our previous experience of 94 patients receiving radiotherapy, 88 (93.7 per cent) completed their treatment without any adverse outcome. 7 Quality of speech During our speech analysis of 150 patients treated at our institution, speech quality was subjectively 19 …”

Section: Presence Of Speechmentioning

confidence: 99%

“…The incidence of successful speech outcomes ranges from 74 to 100 per cent. 4,8,9,11,12,[14][15][16][17][18]20,21,[23][24][25][26][27][28][29][30][31][32][33][34] The results of various studies are summarised in Table II. In the previously published series, we analysed the speech outcomes of 150 patients with carcinoma of the larynx and pyriform fossa who underwent neartotal laryngectomy at our institution. Intelligible speech was acquired by 90 per cent of these patients.…”

Section: Presence Of Speechmentioning

confidence: 99%

“…16 Other studies have reported aspiration rates ranging from 10 to 42 per cent. 17,23,30,32,33,36,37 Pharyngocutaneous fistula. Theoretically, one would expect the incidence of pharyngocutaneous fistula to be slightly higher following near-total laryngectomy compared with total laryngectomy, due to the former procedure's uneven suture line caused by the invagination of the voice shunt in the neopharynx.…”

Section: Complicationsmentioning

confidence: 99%

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Current status of near-total laryngectomy: review

2012

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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 alternative to total laryngectomy for selected patients with lateralised, locally advanced cancers of the larynx and hypopharynx. Although these patients are left with a permanent tracheostomy, lung-powered speech is maintained by way of a dynamic shunt created from the uninvolved tissues of the larynx. Since its first description in the early 1980s, the procedure has been shown by various authors to be oncologically sound, with high success rates. Unfortunately, the procedure has not gained wide acceptance due to perceived fears of surgical complexity. In this review, we discuss the various issues related to the procedure and we review the relevant literature.

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“…4,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23] CURRENT STATUS OF NEAR-TOTAL LARYNGECTOMY…”

Section: Oncological Safetyunclassified

“…Kavabata et al reported shunt stenosis in one of 15 cases who failed to attain speech. 17 In our previous series, the incidence of shunt stenosis was 6.6 per cent. 7 Aspiration.…”

Section: Complicationsmentioning

confidence: 99%

Section: Presence Of Speechmentioning

confidence: 99%

Section: Presence Of Speechmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Current status of near-total laryngectomy: review

2012

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Przetoka skórno-gardłowa jako powikłanie po laryngektomii – wciąż aktualny problem kliniczny

Betlejewski

Szymańska-Skrzypek

2007

Otolaryngologia Polska

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Subtotal laryngectomy with formation of a laryngotracheal shunt in vocal rehabilitation of patients with stage III and IV locally advanced larynx and laryngopharynx cancer (literature review)

Менькова

Kulbakin

Красавина

et al. 2021

Opuholi golovy i šei

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Currently accepted standard of surgical treatment of patients with locally advanced stage III and IV laryngeal and laryngopharyngeal cancer is laryngectomy which leads to loss of vocal function. Therefore, vocal rehabilitation is one of the most important tasks of the doctor. It allows to increase quality of life of patients after treatment. Currently used techniques of vocal rehabilitation have their advantages and disadvantages. The article considers various techniques of vocal rehabilitation, primarily, subtotal laryngectomy with laryngotracheal shunt as a promising method of surgical rehabilitation of patients with locally advanced caner of the larynx and laryngopharynx.

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A nine-year institutional experience with near-total laryngectomy

Cited by 6 publications

References 16 publications

Current status of near-total laryngectomy: review

Current status of near-total laryngectomy: review

Przetoka skórno-gardłowa jako powikłanie po laryngektomii – wciąż aktualny problem kliniczny

Subtotal laryngectomy with formation of a laryngotracheal shunt in vocal rehabilitation of patients with stage III and IV locally advanced larynx and laryngopharynx cancer (literature review)

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