An Easier Technique for Near‐Total Laryngectomy

Moñux, Alfonso; Rabanal, I.; Cabra, Jesús; García-Polo, Julio; Gavilán, Javiér

doi:10.1097/00005537-199602000-00025

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…The first modification occurs when the larynx is entered. 5 We usually enter the larynx in the vallecula in all patients in whom this area is free of cancer (the majority of our cases). The second difference is that the shunt is created by tubing the mucosa around a 12F, instead of a 14F, calibrating catheter.…”

Section: Methods and Patientsmentioning

confidence: 90%

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Oncologic and Functional Results of Near‐Total Laryngectomy

Bernáldez

Garcia-Pallares

Morera

et al. 2003

Otolaryngol.--head neck surg.

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OBJECTIVE: To report the oncologic and functional outcome of patients undergoing near-total laryngectomy. STUDY DESIGN AND SETTING: A retrospective analysis was carried out from 1991 through 1998. RESULTS: Eighty-seven patients underwent near-total laryngectomy. The Kaplan-Meier overall survival, cause-specific survival, and relapse-free survival estimates at 5 years were 48.2%, 75.8%, and 72.4%, respectively. Univariate analysis revealed prognosis significance for location, stage, and pathologic cervical lymph node status. Five percent of the patients developed local recurrence, 16% recurrence in cervical lymph nodes, and 10% distant metastasis. Pharyngocutaneous fistula was the most frequent complication (48%). Seventy-seven percent of cases achieved voice preservation. Symptomatic aspiration was noted in 12.3% of cases. CONCLUSION: Near-total laryngectomy can be a successful surgical procedure for selected patients; it does not replace total laryngectomy but reduces its indications. Voice preservation can be achieved in most cases. SIGNIFICANCE: Near-total laryngectomy enhances the speech rehabilitation options for the laryngectomy patient by adding a physiologic, nonprosthetic tissue technique.

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Section: Methods and Patientsmentioning

confidence: 90%

“…Near‐total laryngectomy was performed according to the method described by Pearson and De‐Santo, 4 with 2 significant variations. The first modification occurs when the larynx is entered 5 . We usually enter the larynx in the vallecula in all patients in whom this area is free of cancer (the majority of our cases).…”

Section: Methods and Patientsmentioning

confidence: 99%

Oncologic and Functional Results of Near‐Total Laryngectomy

Bernáldez

Garcia-Pallares

Morera

et al. 2003

Otolaryngol.--head neck surg.

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“…The value of SPL in radical control of T1b-T2-T3 glotto-supraglottic cancer has been reported, and good functional results are acknowledged. 5,8 In our institution, we have successfully treated more than 200 cases of laryngeal cancer with SPL. In only nine cases salvage surgery for severe persistent aspiration was performed.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Its application is also described for patients who are candidates for conservative partial surgery but are compromised physiologically due to age or poor general health, and for patients in whom tumor extension would not permit safe conservative surgery. 5 On the other hand, supracricoid partial laryngectomy (SPL) with cricohyoidopexy (CHP) or cricohyoidoepiglottopexy yields good functional and oncological results in the treatment of T1b-T2 and T3 glotto-supraglottic cancer. 6,7 Good restoration of swallowing is usually recovered within 1 month after surgery.…”

Section: Introductionmentioning

confidence: 99%

Near‐total laryngectomy following failure after supracricoid partial laryngectomy

et al. 2012

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“…The surgical procedure used was based on the technique originally described by Pearson8 and modified by Monux 12. It included a subcricoid hemilaryngectomy by a median thyrotomy approach.…”

Section: Methodsmentioning

confidence: 99%