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Infravestibular horizontal partial laryngectomy. A new surgical method.

J Bartual, J Roquette

    Archives of Oto-Rhino-Laryngology
    |June 27, 1978
    PubMed
    Summary

    A new infravestibular horizontal partial laryngectomy offers a viable alternative to total laryngectomy for glottic and subglottic cancers. This technique successfully preserved swallowing, phonation, and respiration in most patients.

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    Area of Science:

    • Oncology
    • Otorhinolaryngology
    • Surgical Innovation

    Background:

    • Laryngeal cancers, particularly glottic and subglottic tumors, often necessitate total laryngectomy.
    • Total laryngectomy significantly impacts vocalization, swallowing, and breathing, leading to reduced quality of life.

    Purpose of the Study:

    • To introduce and evaluate a novel functional surgical technique for laryngeal cancers.
    • To assess the efficacy of an infravestibular horizontal partial laryngectomy as an alternative to total laryngectomy.
    • To determine the functional outcomes of laryngeal reconstruction following this partial laryngectomy.

    Main Methods:

    • Development of an infravestibular horizontal partial laryngectomy technique.
    • Surgical removal of neoplasms involving the glottis and subglottis.
    • Reconstruction of the larynx by suturing vocal bands to the ascended trachea and conserved thyroid cartilage.

    Main Results:

    • The surgical technique was performed on 12 patients.
    • Encouraging functional outcomes were observed.
    • Natural swallowing, phonation, and respiration were achieved in 8 out of 12 patients.

    Conclusions:

    • Infravestibular horizontal partial laryngectomy is a promising functional organ-sparing surgical option for select laryngeal cancers.
    • This technique can effectively preserve essential laryngeal functions, improving patient quality of life.
    • Further research and patient selection are crucial for optimizing outcomes.

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