[Laryngeal resection in cancer using endoprosthesis]

Area of Science:

• Otolaryngology
• Surgical Oncology
• Biomaterials Science

Context:

• Advanced laryngeal tumors often necessitate complex surgical interventions.
• Current treatment modalities may lead to significant functional deficits, including impaired respiration and voice.
• The need for innovative prosthetic solutions in laryngeal cancer surgery is critical.

Purpose:

• To introduce and evaluate an original silicone rubber prosthetic appliance for endoprosthetic resections of advanced laryngeal tumors.
• To assess the functional outcomes, specifically decanulation and voice recovery, following endoprosthetic laryngeal resections.

Summary:

• An original silicone rubber prosthetic appliance was developed for laryngeal tumor resections.
• Twenty-one patients underwent endoprosthetic resections.
• Frontal and lateral resections in 15 patients resulted in 80% decanulation and 93.3% voice recovery. Horizontal resections in 6 patients led to recovery of respiratory and defense functions in 5, with all regaining normal vocal function.

Impact:

• The developed prosthetic appliance offers a viable solution for managing advanced laryngeal tumors.
• Successful functional recovery (respiratory, defense, and vocal) was observed in a high percentage of patients.
• This innovation holds potential to improve quality of life for laryngeal cancer patients post-resection.