Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid. Issue 11 (22nd April 2016)

• Record Type: Journal Article
• Authors: Guinchard, Anne‐Claude; Monnier, Philippe; Jaquet, Yves; Monnier, Yan; Ikonomidis, Christos
• Is Part Of: Head & neck. Volume 38:Issue 11(2016)
• Page Start: 1722
• Page End: 1727
• Publication Date: 2016-04-22
• Subjects: larynx -- sarcoma -- partial laryngectomy -- hemicricoidectomy -- endolaryngeal stent; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24476
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Partial laryngectomy techniques are challenging, especially in young patients where function has to be preserved without compromising the oncologic outcome. We present a modified laryngectomy technique indicated for tumors invading one hemicricoid. Methods: Vertical hemilaryngectomy with reconstruction of neo‐glottis by hemi trachea and placement of an endolaryngeal silicon prosthesis for a 21‐y old female patient presenting with a synovial sarcoma located on the left arytenoid area. Results: The prosthesis was removed at 6 w with tracheotomy closure at 8w post‐op. Patient underwent adjuvant radiotherapy. Functional outcome showed good swallowing without aspiration. Voice was hoarse. At 5 years post‐op the patient is free of recurrence presenting only mild dyspnea upon effort. Conclusion: Vertical hemilaryngectomy including a hemicricoid is feasible with single stage reconstruction by a hemi‐trachea of 4 to 5 rings intussuscepted into the thyroid cartilage. The functional outcome is good considering oncologic safety and avoidance of a permanent tracheostomy. © 2016 Wiley Periodicals, Inc. Head Neck 38 : 1708–1716, 2016