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Modular approach in OPHL: are there preoperative predictors?
Andy Bertolin1, Marco Lionello1, Marco Ghizzo1
1Otolaryngology Unit, Vittorio Veneto Hospital, Italy.
Summary
Hypoglottic extension of glottic tumors is key to predicting surgical modulation during open partial horizontal laryngectomies (OPHLs). This finding helps surgeons inform patients about potential intraoperative procedure changes in laryngeal cancer treatment.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Laryngeal Cancer Research
Background:
- Open partial horizontal laryngectomies (OPHLs) are a primary surgical approach for intermediate and advanced laryngeal cancers.
- OPHLs offer the unique possibility of intraoperative surgical modulation.
- Identifying preoperative factors predicting modulation is crucial for surgical planning.
Purpose of the Study:
- To identify preoperative endoscopic and radiological factors that predict the possibility of modulating OPHL.
- To enhance surgical decision-making and patient counseling for laryngeal cancer surgery.
Main Methods:
- Retrospective review of 72 patients undergoing OPHL for glottic squamous cell carcinoma (LSCC).
- Analysis of preoperative endoscopic and radiological data to identify predictive parameters for OPHL modulation.
- Correlation of preoperative findings with intraoperative surgical decisions.
Main Results:
- Tumor hypoglottic extension was the most significant preoperative predictor of OPHL modulation.
- Hypoglottic extension did not negatively impact oncological outcomes.
- Patients with hypoglottic extension eligible for OPHL type II may require intraoperative conversion to OPHL type III.
Conclusions:
- Preoperative identification of hypoglottic extension is vital for predicting OPHL modulation.
- Patients with specific tumor characteristics should be informed about potential intraoperative surgical modifications.
- This knowledge aids in optimizing surgical strategy and patient expectations for laryngeal cancer treatment.
