Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subtotal laryngectomy

B W Pearson

    The Laryngoscope
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Subtotal laryngectomy offers an alternative to total laryngectomy, preserving laryngeal structures for functional speech. This technique allows for a self-valving speaking shunt, maintaining airway and foodway separation without prostheses.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Cushing's syndrome due to medullary thyroid carcinoma: diagnosis by proopiomelanocortin messenger ribonucleic acid in situ hybridization.

    The Journal of clinical endocrinology and metabolism·2003
    Same author

    Results of near-total laryngectomy.

    The Annals of otology, rhinology, and laryngology·1998
    Same author

    Polyethylene oxide gel. A new intranasal dressing after septorhinoplasty.

    Archives of otolaryngology--head & neck surgery·1991
    Same author

    Utility of near-total laryngectomy for supraglottic, pharyngeal, base-of-tongue, and other cancers.

    The Annals of otology, rhinology, and laryngology·1989
    Same author

    An endostomal tracheostomy tube for leakproof retention of the Blom-Singer stomal valve.

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1988
    Same author

    Dedifferentiated acinic cell (acinous) carcinoma of the parotid gland.

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1988
    Same journal

    Association Between the Modified Frailty Index and Short-Term Total Thyroidectomy Complications.

    The Laryngoscope·2026
    Same journal

    Discrimination of Pairs of Chemosensory Stimuli in Relation to Respiration.

    The Laryngoscope·2026
    Same journal

    What Safety Precautions Are Recommended When Lasering in the Airway?

    The Laryngoscope·2026
    Same journal

    Success of Anterior Ethmoidal Artery Flaps for Nasal Septal Perforation Repair: A Systematic Review.

    The Laryngoscope·2026
    Same journal

    Laryngeal IgG4-Related Disease: A Systematic Review of Clinical Features and Management.

    The Laryngoscope·2026
    Same journal

    Elevated BMI Is Not Associated With Adverse Outcomes in Open Airway Reconstruction.

    The Laryngoscope·2026
    See all related articles

    Area of Science:

    • Otolaryngology
    • Head and Neck Surgery
    • Surgical Oncology

    Background:

    • Total laryngectomy, while effective for tumor resection, results in the loss of natural voice and separation of airway and foodway.
    • Conventional reconstructions after total laryngectomy often require prostheses and can have variable outcomes.
    • Preserving functional laryngeal structures during oncologic surgery is a key goal in head and neck cancer treatment.

    Purpose of the Study:

    • To describe the principles and outcomes of a subtotal laryngectomy technique for laryngeal and pharyngeal carcinoma.
    • To evaluate the efficacy of a self-valving speaking shunt created from preserved laryngeal structures.
    • To assess the oncologic safety and functional speech results of this modified surgical approach.

    Main Methods:

    Related Experiment Videos

  • A cohort of 16 patients with laryngeal or pharyngeal carcinoma underwent subtotal laryngectomy.
  • The technique involved precise tumor resection while preserving an innervated segment of the endolarynx for a speaking shunt.
  • Surgical margins were meticulously assessed, and patients were followed for speech function and tumor recurrence.

    • Main Results:

    • The described subtotal laryngectomy technique provided adequate tumor resection in all cases.
    • A functional, self-valving speaking shunt was successfully created and maintained in all patients.
    • Patients retained fistula speech, and no local tumor recurrence was observed during follow-up periods ranging from 6 months to 6 years.

    Conclusions:

    • Subtotal laryngectomy is a viable oncologic procedure for selected laryngeal and pharyngeal cancers.
    • Preservation of the innervated endolarynx allows for a functional, non-prosthetic speaking shunt, improving voice outcomes.
    • This technique offers consistent advantages in terms of speech function and oncologic control compared to traditional total laryngectomy reconstructions.