Lateral cervical approach for open laryngeal surgery: Technical notes

Spriano, Giuseppe; Mercante, Giuseppe; Anelli, Andrea; Cristalli, Giovanni; Ferreli, Fabio

doi:10.1002/hed.25475

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…Recently, Spirano described minimal invasive lateral cervical approach among open partial laryngectomy, the anterior myocutaneous (AMC) flap is performed, to maintain the trophism of the anterior region of the neck. 13 , 14 This is the trend of minimal invasive surgery that can improve the outcomes of functional results.…”

Section: Discussionmentioning

confidence: 99%

Subtotal Laryngectomy with Epiglottic Reconstruction for Glottic Carcinoma: A Single Institutional Experience

Minh¹,

Dinh²,

Hong³

et al. 2022

IJGM

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Aim Laryngeal cancer is a common form of head and neck cancer in Vietnam where the current treatment is surgery. Subtotal laryngectomy with epiglottic reconstruction, a conservative surgery, allows removal of anterior commissure including thyroid cartilage and paraglottic space and provides a maximum restoration of the anatomical structure of the larynx. Purpose To evaluate the results, the safety and effectiveness of patients who were treated with subtotal laryngectomy with epiglottic reconstruction. Material and Method From January 2012 to July 2017, 42 patients (41 male, 1 female, median age 55.6 years, range 38–75 years) were diagnosed with glottic carcinomas at Vietnam National ENT Hospital, where they underwent a subtotal laryngectomy with epiglottic reconstruction. Results Thirty-one patients (73.8%) had T2 glottic carcinoma, 4 (9.5%) T3 glottic carcinoma, and 12 (25.6%) had neck dissection. The arytenoid cartilage on the tumor-bearing side was resected in 11 patients (26.2%). Functional ipsilateral neck dissection was performed in 30 patients. Positive lymph node of stage T2 was 1/31 (3.2%). Postoperative histopathologic examination showed a tumour free of resection margin in 41 patients (97.6%). Only one post-operative complication occurred with bleeding 24 hours after surgery. There was no mortality. The 3- and 5-year overall survival rates were 97.6% and 85.7%, respectively. The rate of local control was 92.9%. Conclusion Subtotal laryngectomy with epiglottic reconstruction was performed mostly for T2 and certain T3 glottic carcinomas when there is difficult to safely remove the tumour with transoral laser microsurgery. This surgery appears to be effective for the overall survival and has potential in clinical practice for treating moderate glottic carcinoma.

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Section: Discussionmentioning

confidence: 99%

Subtotal Laryngectomy with Epiglottic Reconstruction for Glottic Carcinoma: A Single Institutional Experience

Minh¹,

Dinh²,

Hong³

et al. 2022

IJGM

View full text Add to dashboard Cite

show abstract

“…These mini-invasive approaches aim to preserve, as much as possible, the healthy tissues surrounding the larynx. Recently, a lateral cervical approach (LCA) has been described; it allows neck dissection and open laryngectomy whilst respecting the oncological radicality and preserving the surrounding healthy tissues at the same time [ 7 , 8 , 9 ]. This approach is performed by making a skin incision following the anterior border of the sternocleidomastoid muscle, followed by the preparation of an anterior myocutaneous (AMC) flap in order to create a space to perform the lateral neck dissection, the partial laryngectomy, and the pexy.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Laryngeal Cancer Surgery after Open Partial Horizontal Laryngectomies with Lateral Cervical Approach

Colizza

Ralli

Stadio

et al. 2022

JCM

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Background: Open partial horizontal laryngectomies (OPHL) are one of the surgical techniques used for the conservative management of laryngeal cancers. The aims of this study are to analyze the oncological and functional results of a group of patients affected by laryngeal squamous cell carcinoma (LSCC) treated with OPHL, performed using a minimally invasive technique. Methods: This is a prospective case–control study. We enrolled 17 consecutive patients with LSCC treated with OPHL through a lateral cervical approach (LCA). Patients were evaluated using their Penetration Aspiration Scale score (liquid, semiliquid and solid) and Voice Handicap Index (VHI) at three different endpoints: 15 days (T1), 3 months (T2), and 6 months (T2) after surgery. Results: The functional outcomes of the LCA are stackable with that of the classical anterior cervical approach in terms of respiration, swallowing, and speech. One-way ANOVA was performed to evaluate the variances of PAS and VHI scores at the three different observation points. No statistically significant differences were observed between OPHL- PAS scores for liquid (p = 0.1) at the three different observation points. A statistically significant improvement was observed in the OPHL- PAS score for semisolids and solids (p < 0.00001) between T1 and T3 (p = 0.0001) and for solids between T2 and T3 (p < 0.00001). The improvement of VHI-10 was statistically significative (p < 0.00001) at the three different observation points (T1–T2 and T2–T3). Conclusion: The LCA is a potential approach for laryngeal surgery in selected cases. The preoperative staging and planning are of the utmost importance to ensure oncological radicality. The main advantage of this approach is the preservation of the healthy tissues surrounding the larynx and the functional and oncological outcomes are stackable with the classic anterior cervical approach.

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Lateral cervical approach for salvage total laryngectomy without pharyngeal reinforcement with pedicled or free flaps: our preliminary experience in six patients

Ferreli

Mercante

Maio

et al. 2020

Eur Arch Otorhinolaryngol

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Lateral cervical approach for open laryngeal surgery: Technical notes

Cited by 5 publications

References 12 publications

Subtotal Laryngectomy with Epiglottic Reconstruction for Glottic Carcinoma: A Single Institutional Experience

Subtotal Laryngectomy with Epiglottic Reconstruction for Glottic Carcinoma: A Single Institutional Experience

Outcomes of Laryngeal Cancer Surgery after Open Partial Horizontal Laryngectomies with Lateral Cervical Approach

Lateral cervical approach for salvage total laryngectomy without pharyngeal reinforcement with pedicled or free flaps: our preliminary experience in six patients

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