Introduction
This edition of Operative Techniques is dedicated to surgical therapy for laryngeal cancer. Surgery for cancer of the larynx enjoys a long and robust evolutionary history, highlighted by milestones involving the development of innovative surgical techniques aimed at partial laryngeal preservation, implementation of advanced technology utilizing laser and robotic instrumentation, and the restoration of voice following laryngectomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 19, 2024 Category: ENT & OMF Authors: Phillip K Pellitteri Source Type: research

Considerations in Salvage Laryngectomy Reconstruction
Pharyngocutaneous fistula (PCF) is a dreaded complication from total laryngectomy (TL), as it can cause wound issues, lengthen hospitalization, increase costs, and prolong nothing-by-mouth status. In this issue of JAMA Otolaryngology –Head& Neck Surgery, Moreno et al evaluated 309 patients from multiple institutions who underwent salvage TL. This work nicely focuses on the subset of TL with limited pharyngeal defect amenable to primary closure (PC), distinguishing it from other work on this topic. The authors report a PCF rate of 29%. In their study, the investigators evaluated the use of free tissue transfer (FTT) v...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

Reconstruction for Salvage Laryngectomy With Limited Pharyngectomy
This cohort study examines whether the closure technique of salvage laryngectomy is associated with early postoperative and long-term functional outcomes. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

Open Organ Preservation for Laryngeal Cancer
As the treatment for laryngeal cancer has evolved over several decades, organ preservation has remained one of the goals of treatment. While chemoradiation therapy is the most widely used treatment modality, open surgical preservation techniques for laryngeal cancer continue to be an option in the surgeon's armamentarium. A summary of the history, anatomic considerations, principles of organ preservation and specific partial laryngectomy techniques are discussed in this review. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 17, 2024 Category: ENT & OMF Authors: Thomas L. Kennedy, Priscilla F.A. Pichardo Source Type: research

History and Evolution of the Laryngectomy
This article reviews the history of laryngectomy, progression of surgical techniques, concurrent advancements in vocal rehabilitation, and role of complete and partial laryngectomy procedures in the current era. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 17, 2024 Category: ENT & OMF Authors: Ryan N. Hellums, John E. Hanks, Kevin J. Kovatch Source Type: research

Surgery and Rehabilitation for Speech Following Laryngectomy
Achieving optimal voice restoration has long been the goal in total laryngectomy patients. Significantly, the achievement of a good voice has a great impact on the quality of life in this patient population. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 16, 2024 Category: ENT & OMF Authors: Thorsen Haugen Source Type: research

Total Laryngectomy
This article will review common indications, basic technique, and complications of the total laryngectomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 16, 2024 Category: ENT & OMF Authors: Anthony Sanchez, Hector Perez, Max Feng, Shannon Calaguas, Paul Walker, Alfred Simental Source Type: research

Supracricoid Laryngectomy
Surgery has been utilized as an approach for Organ Preservation of the Larynx since the late 19th century, decades prior to Madame Curie's discovery of radium. But with the discovery of radium the pendulum of surgical versus non-surgical organ preservation has swung one way or the other over the course of the 20th century. New procedures were developed during the 20th century such as the supraglottic laryngectomy to improve local control and functional outcomes. Supracricoid laryngectomy is one such procedure and can be a valuable option to preserve phonation, respiration, and swallowing function while maintaining excellen...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 16, 2024 Category: ENT & OMF Authors: Sara B. Hobday, Lukas Dumberger, Robert Brody, Gregory S. Weinstein Source Type: research

Operative Techniques in Otolaryngology: Head and Neck Surgery. Geisinger Medical Center Experience for Whole Mount Laryngectomy Specimen.
This study examines the pathological features of laryngectomy specimens and their significance in the diagnosis and management of laryngeal cancer. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 16, 2024 Category: ENT & OMF Authors: Mohammed Amer Swid, Hayden Idom, William Quinones Source Type: research

Primary mode of communication for people with total laryngectomy in the United Kingdom: a cross-sectional survey
J Laryngol Otol. 2024 Apr 11:1-24. doi: 10.1017/S0022215124000525. Online ahead of print.NO ABSTRACTPMID:38602071 | DOI:10.1017/S0022215124000525 (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 11, 2024 Category: ENT & OMF Authors: Sarah H Woodman Roganie Govender Kate Baker Carol Glaister Elizabeth A Rowe Jane Dunton Joanne M Patterson Source Type: research

A custom device for managing recurrent tracheoesophageal voice prosthesis dislodgement and aspiration due to treatment refractory, severely enlarged puncture: A video case report
We report the case of a laryngectomized patient with an enlarged tracheoesophageal puncture (TEP) that is refractory to standard treatments and culminating in life-threatening recurrent dislodgement and aspiration of custom fabricated dual extra-large flange voice prostheses (VP). The fabrication and use of a novel intraluminal prosthetic device to prevent dislodgement, lessen aspiration, and preserve TE voice is described. A custom device insetting a commercial VP into the posterior wall of a LaryTube (coined "inset-VP") was devised with the primary goal of eliminating chronic VP dislodgement and lessening aspiration whil...
Source: Cancer Control - April 5, 2024 Category: Cancer & Oncology Authors: Barbara M Ebersole Mark Zafereo Katherine A Hutcheson Source Type: research

Dysphagia After Total Laryngectomy: An Exploratory Study and Clinical Phase II Rehabilitation Trial with the Novel Swallowing Exercise Aid (SEA 2.0)
AbstractThe aims of this exploratory study and clinical phase II trial were to assess the specific nature and extent of dysphagia in laryngectomized patients with self-reported dysphagia, and its rehabilitation potential using the novel Swallowing Exercise Aid (SEA 2.0). Twenty laryngectomized patients participated in a six-week exercise program with the SEA 2.0. Exercises consisted of Chin Tuck Against Resistance (CTAR), Jaw Opening Against Resistance (JOAR), and Effortful Swallow Against Resistance, conducted three times per day. Swallowing was assessed at baseline (T0), six (T1) and 14 (T2) weeks, consisting of patient-...
Source: Dysphagia - April 1, 2024 Category: Speech-Language Pathology Source Type: research

Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure
CONCLUSIONS: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.PMID:38502946 | DOI:10.24875/CIRU.22000324 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - March 19, 2024 Category: Surgery Authors: Adolfo Montemayor-Alatorre Ruth P Serna-Vazquez Karla M Santos-Santillana Josefina A Morales-Del Ángel Jos é R Córtes-Ponce Jos é L Treviño-González Source Type: research

Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure
CONCLUSIONS: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.PMID:38502946 | DOI:10.24875/CIRU.22000324 (Source: Cirugia y Cirujanos)
Source: Cirugia y Cirujanos - March 19, 2024 Category: Surgery Authors: Adolfo Montemayor-Alatorre Ruth P Serna-Vazquez Karla M Santos-Santillana Josefina A Morales-Del Ángel Jos é R Córtes-Ponce Jos é L Treviño-González Source Type: research