Twenty questions from the surgeon to the radiologist to better plan an open partial horizontal laryngectomy
Open partial horizontal laryngectomies (OPHLs) represent a valuable therapeutic option for tumors of the intermediate T-category and, in selected cases, for locally advanced tumors with low-volume extra-laryngeal extension. The eligibility of patients treated with this type of surgery has increased with the introduction of the modular approach to OPHL planning. This strategy follows the introduction of the classification proposed by the European Laryngological Society, based on the extent of horizontal resection. Optimization of the selection is the result of a meticulous work-up process involving close cooperation between...
Source: Frontiers in Oncology - January 24, 2024 Category: Cancer & Oncology Source Type: research
Laryngectomy in T3 laryngeal cancer
Ir Med J. 2024 Jan 18;117(1):897.NO ABSTRACTPMID:38259498 (Source: Ir Med J)
Source: Ir Med J - January 23, 2024 Category: General Medicine Authors: G P Sexton J M Hinzte J Kinsella C Timon C W R Fitzgerald P Lennon Source Type: research
Laryngectomy
You can do everything you did before except swim. If you swim, water will flood your lungs through the hole in your neck. (Source: JAMA)
Source: JAMA - January 23, 2024 Category: General Medicine Source Type: research
Treatment strategy in laryngeal chondrosarcoma: a multicenter study of 43 cases
ConclusionThese results suggest that laryngeal preservation should be considered as the initial treatment in cases of laryngeal chondrosarcoma. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - January 18, 2024 Category: ENT & OMF Source Type: research
Preoperative tracheostomy is associated with thyroid gland invasion and poorer prognosis in laryngectomized patients
ConclusionPreoperative tracheostomy is an independent predictive factor for thyroid gland invasion and has adverse oncological outcomes in laryngectomized patients. Conversely, the rates of thyroid gland invasion are low when tracheostomy was not performed beforehand. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - January 18, 2024 Category: ENT & OMF Source Type: research
Oncological and functional outcomes in T3 and T4 laryngeal cancer patients: choice for larynx preservation or total laryngectomy based on expected laryngeal function
J Laryngol Otol. 2024 Jan 18:1-17. doi: 10.1017/S0022215124000112. Online ahead of print.NO ABSTRACTPMID:38235588 | DOI:10.1017/S0022215124000112 (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 18, 2024 Category: ENT & OMF Authors: Arman Nobacht Tineke W H Meijer Sjoukje F Oosting Bert van der Vegt Jan Wedman Gy örgy B Halmos Boudewijn E C Plaat Source Type: research
Prophylactic pectoralis major flap to compensate for increased risk of pharyngocutaneous fistula in laryngectomy patients with low skeletal muscle mass (PECTORALIS): study protocol for a randomized controlled trial
Total laryngectomy (TL) is a surgical procedure commonly performed on patients with advanced laryngeal or hypopharyngeal carcinoma. One of the most common postoperative complications following TL is the develo... (Source: BMC Cancer)
Source: BMC Cancer - January 15, 2024 Category: Cancer & Oncology Authors: Maartje A. van Beers, Caroline M. Speksnijder, Carla H. van Gils, Geert W.J. Frederix, Jan Willem Dankbaar and Remco de Bree Tags: Study Protocol Source Type: research
Machine learning model to preoperatively predict T2/T3 staging of laryngeal and hypopharyngeal cancer based on the CT radiomic signature
ConclusionsThe nomogram based on the radiomics model derived from contrast-enhanced CT images had good diagnostic performance for distinguishing T2/T3 staging of LHSCC.Clinical relevance statementAccurate T2/T3 staging assessment of LHSCC aids in determining whether laryngectomy or laryngeal preservation therapy should be performed. The nomogram based on the radiomics model derived from contrast-enhanced CT images has the potential to predict the T2/T3 staging of LHSCC, which can provide a non-invasive and robust approach for guiding the optimization of clinical decision-making.Key Points•Combining analysis of variance w...
Source: European Radiology - January 11, 2024 Category: Radiology Source Type: research
Pharyngeal reconstruction after total laryngectomy with sliding epiglottis: technical aspects with retrospective review
ConclusionsSliding epiglottoplasty is considered a safe reconstruction technique. Although slightly better outcomes were noted within the epiglottoplasty group, it is still considered inferior to the primary closure. This technique ought to be considered in meticulously selected patients in whom primary closure is not feasible, epiglottis with nearby structures is spared from disease, and when the distal flaps are less appropriate or contraindicated. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - January 8, 2024 Category: Cancer & Oncology Source Type: research
A deployable curriculum with 3D printed skills trainers for altered airway management
Altered Airway Anatomy (AAA), including tracheostomies and laryngectomies, may represent an area of unease for non-Otolaryngology trainees, due to a lack of exposure, structured education, or dedicated trainin... (Source: BMC Medical Education)
Source: BMC Medical Education - January 8, 2024 Category: Universities & Medical Training Authors: Madison V. Epperson, Arushi Mahajan, Rishabh Sethia, Nolan Seim, Kyle VanKoevering and Robert J. Morrison Tags: Research Source Type: research
Analysis of swallowing and voice-related quality of life in patients after supracricoid partial laryngectomy
ConclusionSCPL provides patients with satisfactory swallowing and voice function. The patients in this study were satisfied with their quality of life in terms of swallowing and voice. SCPL can be used as a surgical method to preserve laryngeal function in patients with laryngeal cancer. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - January 6, 2024 Category: ENT & OMF Source Type: research
Thyroid cartilage infiltration in advanced laryngeal cancer: prognostic implications and predictive modelling
CONCLUSIONS: Our study confirms the essential role of LVI as prognosticator in advanced LSCC and, more innovatively, highlights the volume of thyroid cartilage infiltration as another promising prognostic factor.PMID:38165207 | DOI:10.14639/0392-100X-N2739 (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - January 2, 2024 Category: ENT & OMF Authors: Claudia Montenegro Alberto Paderno Marco Ravanelli Carlotta Pessina Fatima-Ezzahra Nassih Davide Lancini Francesca Del Bon Davide Mattavelli Davide Farina Cesare Piazza Source Type: research
