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Updated: Aug 8, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Spread channels of anterior commissure cancer: clinico-pathological study and surgical implications]
C Martín Villares1, J Poch Broto, L Ortega Medina
1Departamento de Cirugía II-ORL, Hospital Clínico San Carlos de Madrid, Universidad Complutense de Madrid UMC.
Unlabelled:
The aim of the present study is to describe the spread channels of the anterior commisure cancer, its clinical significance and its surgical implications.
Patients And Methods:
A prospective study was performed at the ENT Department of the Complutense University in about 31 patients with anterior commisure carcinoma wo underwent surgery between 1994/97. Specimens were processes with Whole-Organ Serial Sections.
Results:
Patients were differenciated into two groups: 1) Patients with glottic tumors, with a good cord mobility and no invasive tumor in commisure region (18 patients); In these patients, conservative surgery was possible; 2) Another group (13 patients) with aggressive lesions (80% with cartilage involvement), vocal cord fixation and transglottic lesions. In these group, conservative surgery was contraindicated.
Conclusions:
This report emphasizes the importance of laryngoscopy in surgical technique of anterior commisure cancer.

