Lateral cervical approach for supracricoid partial laryngectomy.

Area of Science:

• Otolaryngology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Supracricoid partial laryngectomy is used for T3 laryngeal tumors, with expected good outcomes but challenging rehabilitation.
• Complications, particularly in salvage surgery, and the need for associated neck dissection are noted.

Observation:

• A minimally invasive supracricoid partial laryngectomy was performed using a lateral cervical approach in a patient with recurrent glottic cancer.
• The procedure involved a subfascial dissection and harvesting of an anterior cervical flap.

Findings:

• The lateral approach to supracricoid laryngectomy is feasible and safe.
• This technique enables simultaneous neck dissection and complete laryngeal specimen removal while preserving healthy tissue.

Implications:

• The lateral approach offers a viable alternative to the classic anterior approach for supracricoid partial laryngectomy.
• This method may enhance oncological control and functional preservation in laryngeal cancer treatment.