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Partial horizontal laryngectomy and epiglottiplasty.
Hui Huangfu1, Binquan Wang, Weijia Kong
1Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Summary
Lateral horizontal laryngectomy with epiglottoplasty is a viable surgical option for select supraglottic and hypopharyngeal cancers. This technique improves recovery time and reduces aspiration without compromising patient survival rates.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Supraglottic and hypopharyngeal carcinomas present unique surgical challenges.
- Evaluating organ-preserving surgical techniques is crucial for patient outcomes.
Purpose of the Study:
- To assess the efficacy of lateral horizontal laryngectomy and epiglottoplasty for specific laryngeal and hypopharyngeal cancers.
- To determine the oncological safety and functional recovery associated with this surgical approach.
Main Methods:
- Retrospective analysis of 17 patients with laryngeal and hypopharyngeal carcinomas.
- Tumors located at the epiglottis margin, aryepiglottic fold, or piriform fossa medial wall were treated with lateral horizontal laryngectomy and epiglottoplasty.
Main Results:
- All patients achieved oral feeding within 9-14 days and decannulation within 9-15 days post-surgery.
- Three patients experienced postoperative hoarseness; 3-year disease-free survival was 71.4% after initial surgery and 85.7% after secondary surgery.
- The procedure demonstrated simple execution with significant reduction in aspiration and coughing, and shortened recovery times.
Conclusions:
- Lateral horizontal laryngectomy and epiglottoplasty are effective for properly selected cases of laryngeal and hypopharyngeal cancer.
- This surgical method alleviates key postoperative symptoms and accelerates recovery without negatively impacting survival rates.