Laryngeal reconstruction with epiglottis after vertical hemilaryngectomy

Kambič, Vinko; Radsel, Z; Šmid, L.

doi:10.1017/s0022215100082323

Cited by 36 publications

(11 citation statements)

References 10 publications

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“…In den Jahren 1991-1996 wurden 543 Patienten mit operablen Larynxkarzino- Management of laryngeal carcinoma located at the anterior commissure remains controversial.Local control rates with radiotherapy or surgery are not as good as those seen after treatment of midcord lesions.The vertical partial laryngectomy with epiglottic reconstruction (VPLER) may be a more successful approach to such lesions.The charts of all patients treated for larynx carcinoma between 1991 and 1996 at the authors'institutions were reviewed to identify those patients treated with VPLER as described by Sedlacek in 1965, Kambic in 1976and Tucker in 1979 Indications for performing surgery and outcome data of patients were collected and analyzed according to the indications for surgery, surgical technique, perioperative complications, oncological outcomes and functional results.Twelve patients were identified that had been treated with VPLER. Indications for surgery included five patients with local recurrences following endoscopic laser partial laryngectomies, four cases with previously untreated primary tumors at the anterior commissure (T 2 N 0-2 M 0 ), two with local recurrences following radiotherapy, and one with recurrence following frontolateral partial laryngectomy.There were no postoperative complications except for one laryngocutaneous fistula that required secondary repair.All patients were able to swallow at the tenth postoperative day.All had their tracheostomies closed after completion of wound healing, (a mean of 17 days after surgery).Phonatory results were usually poor.…”

Section: Materials Und Methodementioning

confidence: 99%

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Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

Schröder

Eckel

Jungehülsing

et al. 1997

HNO

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Management of laryngeal carcinoma located at the anterior commissure remains controversial. Local control rates with radiotherapy or surgery are not as good as those seen after treatment of midcord lesions. The vertical partial laryngectomy with epiglottic reconstruction (VPLER) may be a more successful approach to such lesions. The charts of all patients treated for larynx carcinoma between 1991 and 1996 at the authors' institutions were reviewed to identify those patients treated with VPLER as described by Sedlacek in 1965, Kambic in 1976 and Tucker in 1979. Indications for performing surgery and outcome data of patients were collected and analyzed according to the indications for surgery, surgical technique, perioperative complications, oncological outcomes and functional results. Twelve patients were identified that had been treated with VPLER. Indications for surgery included five patients with local recurrences following endoscopic laser partial laryngectomies, four cases with previously untreated primary tumors at the anterior commissure (T2 N0-2 M0), two with local recurrences following radiotherapy, and one with recurrence following frontolateral partial laryngectomy. There were no postoperative complications except for one laryngocutaneous fistula that required secondary repair. All patients were able to swallow at the tenth postoperative day. All had their tracheostomies closed after completion of wound healing, (a mean of 17 days after surgery). Phonatory results were usually poor. Two local recurrences occurred during the follow-up period. However, both patients were salvaged with total laryngectomies and have since been free from disease. All other patients are alive and well. Our findings show that VPLER is an effective surgical approach for carcinoma at the anterior commissure of the larynx that cannot be adequately managed with transoral laser surgery or simple frontolateral partial laryngectomy. This study demonstrates that the procedure can be successfully applied to the treatment of local recurrences following initial radiotherapy or surgery. No major complications occurred in our study.

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Section: Materials Und Methodementioning

confidence: 99%

“…Bei [31], Yugoslawien 1976 [12] und in den USA 1979 [36] und hat neben diesen Ländern v.a. auch in Frankreich Verbreitung gefunden.…”

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Indikation, Technik und Ergebnisse der rekonstruktiven Kehlkopfteilresektion nach Sedlacek-Kambic-Tucker

Schröder

Eckel

Jungehülsing

et al. 1997

HNO

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“…De acordo com a descrição clássica de Tucker 11 e outros cirurgiões 13 , aceitamos pequenas invasões do pecíolo da epiglote, desde que esta seja passível de remoção durante a cirurgia e não comprometa a epiglotoplastia.…”

Section: Gráfico 2 Número De Cirurgias Realizadasunclassified

Laringectomia frontal anterior: técnica de Tucker. Estudo retrospectivo

Campos

Reis

Hadj

et al. 2004

Rev. Bras. Otorrinolaringol.

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O carcinoma epidermóide da laringe é a sexta neoplasia mais comum, sendo uma das neoplasias malignas mais freqüen-tes na cabeça e pescoço, ocupando o segundo lugar imediatamente após o câncer da cavidade oral. Forma de estudo: Estudo clínico retrospectivo. Material e método: Entre os anos de 1991 e 2003, 24 pacientes portadores de lesões glóticas envolvendo a comissura anterior foram submetidos a laringectomia frontal anterior com epiglotoplastia descrita por Tucker e colaboradores no ano de 1979. Resultado: Nossos resultados confirmam aqueles encontrados em outras publicações. Não ocorreram mortes no pós-operatório e o seguimento foi relativamente simples. Todos os pacientes foram decanulizados e recuperaram um efetivo trato digestivo e aéreo. Conclusão: Nossos achados mostram que a laringectomia pela técnica de Tucker é uma cirurgia efetiva para o tratamento dos carcinomas glóticos que acometem a comissura anterior e a porção membranosa das cordas vocais com a motilidade preservada, pois tais lesões não devem ser tratadas pela ressecção endoscópica trans-oral ou por uma laringectomia fronto lateral. Squamous cell carcinoma of the larynx is the sixth most common neoplasia, being the second neoplasia of the head and neck, after oral cancer. Study design: Retrospective clinical study chart review. Material and method: From 1991 to 2003, 24 patients whose glottic lesions involving anterior comissure were operated with a reconstructive anterior frontal laryngectomy with epiglotoplasty, such as described by Tucker et al in 1979. Results: Our functional results confirm those reported in the previous publications. There were no post-operative mortalities and follow-up was usually uncomplicated. All patients underwent decanulation and were able to eat by tract normal. Conclusion: Our findings show that partial laryngectomy by Tuckers technique is an effective surgical approach for glottic carcinoma at the anterior comissure and the membranous portion of both vocal cords; considering these lesions cannot be adequately managed with transoral endoscopic surgery resection or fronto lateral partial laryngectomy.Palavras-chave: laringectomia parcial, técnica de Tucker, laringectomia frontal anterior.

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“…This method was further developed by his pupils Gluck and Sö erensen (47). The modern vertical partial laryngectomy for treatment of glottic cancer evolved in the post-World War II era, based on principles developed by Clerf (48), Kemler (49), Leroux-Robert (50) and Norris (51), who resected vertical sections of thyroid cartilage for tumors crossing the anterior commissure.…”

Section: Conservation Operations For Glottic Cancermentioning

confidence: 99%