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Summary
Horizontal glottectomy, a surgical procedure, removes the entire glottis and its framework. This technique, involving specific incisions and cricothyropexy, shows promising early results for various glottic cancers.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Laryngeal Surgery
Background:
- Horizontal glottectomy is a surgical technique for laryngeal cancer.
- The procedure involves removing the entire glottis and its cartilaginous framework.
- It is performed via two horizontal incisions and cricothyropexy.
Purpose of the Study:
- To describe the technique and indications for horizontal glottectomy.
- To report early outcomes of patients undergoing this procedure.
Main Methods:
- The procedure involves horizontal incisions through the cricothyroid membrane and thyroid cartilage wings.
- The surgical gap is closed by approximating the cricoid to thyroid remnants (cricothyropexy).
- Indications include "double" cancers, hyperkeratosis with carcinoma in situ, verrucous cancers, and anterior commissure invasion.
Main Results:
- Sixteen patients were operated on over a 4-year period.
- The study reported good early results for all treated patients.
Conclusions:
- Horizontal glottectomy is a viable surgical option for specific glottic cancers.
- The procedure demonstrated favorable early outcomes in the studied patient cohort.