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[Subtotal reconstructive laryngectomy: author's experience].

C Calearo, L Bignardi

    Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
    |May 1, 1989
    PubMed
    Summary
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    This study presents two reconstructive laryngectomy techniques for laryngeal tumors, with no observed recurrences in 21 patients over 18 years. Arytenoid-preserving surgery showed faster functional recovery compared to bilateral arytenoidectomy.

    Area of Science:

    • Otolaryngology
    • Surgical Oncology
    • Laryngeal Cancer Research

    Context:

    • Intrinsic laryngeal tumors require specialized surgical approaches.
    • Reconstructive laryngectomy offers an alternative to total laryngectomy for specific tumor types.
    • Evaluating surgical techniques for laryngeal cancer is crucial for oncological outcomes and functional preservation.

    Purpose:

    • To evaluate the long-term oncological safety and functional outcomes of two reconstructive laryngectomy techniques for intrinsic laryngeal tumors.
    • To define the anatomical and pathological criteria for selecting appropriate surgical techniques.
    • To assess laryngeal function recovery, including voice and swallowing, after these procedures.

    Summary:

    • Two reconstructive laryngectomy techniques were employed: one preserving arytenoids and another involving bilateral arytenoidectomy.

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  • Selection criteria included tumor extent, arytenoid involvement, and cricoid cartilage status.
  • Reconstruction involved techniques like crico-hyoid-pexy and pseudo-arytenoid creation.

    • Impact:

    • No neoplastic recurrences were observed in 21 patients treated since 1984.
    • Arytenoid-preserving surgery resulted in functional recovery times comparable to supraglottic surgery.
    • Bilateral arytenoidectomy led to longer recovery times, particularly for swallowing function.