Laryngeal framework surgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society

2001 ◽  
Vol 258 (8) ◽  
pp. 389-396 ◽  
Author(s):  
G. Friedrich ◽  
F. I. C. R. S. de Jong ◽  
H. F. Mahieu ◽  
M. S. Benninger ◽  
N. Isshiki
Keyword(s):  
Laryngeal Framework Surgery ◽  
European Laryngological Society

scholarly journals Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy: a European Laryngological Society consensus statement

2021 ◽  
Author(s):  
Cesare Piazza ◽  
Alberto Paderno ◽  
Elisabeth V. Sjogren ◽  
Patrick J. Bradley ◽  
Hans E. Eckel ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Functional Outcomes ◽  
Postoperative Management ◽  
Transoral Laser Microsurgery ◽  
Laser Microsurgery ◽  
Invasive Approach ◽  
Treatment Indications ◽  
Preoperative Diagnostic ◽  
Diagnostic Work ◽  
European Laryngological Society

Abstract Purpose To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery (CO2 TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT]. Methods Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage CO2 TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process. Results The expert panel reached full consensus on 19 statements through a total of three sequential evaluation rounds. These statements were focused on different aspects of salvage CO2 TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up. Conclusion Management of recurrent LSCC after (C)RT is challenging and is based on the need to find a balance between oncologic and functional outcomes. Salvage CO2 TOLMS is a minimally invasive approach that can be applied to selected patients with strict and careful indications. Herein, a series of statements based on an ELS expert consensus aimed at guiding the main aspects of CO2 TOLMS for LSCC in the salvage setting is presented.

Preoperative and Postoperative Voice in Tis-T1 Glottic Cancer Treated by Endoscopic Cordectomy: An Additional Issue for Patient Counseling

2003 ◽  
Vol 112 (9) ◽  
pp. 759-763 ◽  
Author(s):  
Giorgio Peretti ◽  
Maria C. Mensi ◽  
Cesare Piazza ◽  
Manuela Rossini ◽  
Cristiano Balzanelli ◽  
...  
Keyword(s):  
Analysis Of Covariance ◽  
Glottic Cancer ◽  
Type I ◽  
Patient Counseling ◽  
Subjective Data ◽  
Type Iii ◽  
Voice Changes ◽  
Index Evaluation ◽  
European Laryngological Society ◽  
The Voice

Radiotherapy contends with endoscopic surgery for the role of treatment of choice for Tis-T1 glottic cancer. The amount of vocal cord to be surgically removed logically depends on the surface and deep extension of the neoplasm. Thus, a prerequisite for proper management includes an analysis of the voice changes after each of the progressive types of cordectomy described in the European Laryngological Society Classification. Between January 1998 and December 2000, 89 patients with glottic cancer (8 Tis, 63 T1a, 18 T1b) underwent different types of endoscopic cordectomy. Perceptual analysis (GRBAS scale); objective analyses of jitter, shimmer, and noise-to-harmonics ratio; and subjective (Voice Handicap Index) evaluation of voice were performed in 51 patients. Statistical evaluation of preoperative and postoperative objective results by analysis of covariance, as well as perceptual and subjective data, showed significant voice improvement after type I and II cordectomies, with the voice attaining nearly normal parameters. By contrast, after type III, IV, and V cordectomies, the vocal outcome was not significantly different from the preoperative pattern. It can therefore be concluded that type I and II resections, whenever indicated, are adequate procedures even for professional voice users. By contrast, accurate counseling is mandatory before type III, IV, and V cordectomies.

Laryngeal Framework Surgery in the Management of Spasmodic Dysphonia

1989 ◽  
Vol 98 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Harvey M. Tucker
Keyword(s):  
Vocal Fold ◽  
Vocal Folds ◽  
Long Term Results ◽  
Spasmodic Dysphonia ◽  
Management Problem ◽  
Cure Rate ◽  
Adductor Spasmodic Dysphonia ◽  
Laryngeal Framework Surgery ◽  
Selective Lysis

Spasmodic dysphonia continues to be a management problem for otolaryngologists. Selective lysis of the recurrent laryngeal nerve has been useful in the management of this disease. Reported long-term results, however, reveal that spasm recurs in approximately 40% to 50% of initially successful patients in spite of persistence of the unilateral vocal fold paralysis. Although some of these failures can be recaptured with subsequent laser surgery, the overall “cure” rate does not exceed 70%, even in the best hands. The contributions of Isshiki, LeJeune, and Tucker have demonstrated that tension in the vocal folds can be adjusted by laryngeal framework surgery. Experience with 16 patients suffering from adductor spasmodic dysphonia suggests that laryngeal framework surgery is useful in the management of this disorder.

Three-dimensional laryngeal model for planning of laryngeal framework surgery

2006 ◽  
Vol 126 (5) ◽  
pp. 515-520 ◽  
Author(s):  
Hiroyuki Hiramatsu ◽  
Ryoji Tokashiki ◽  
Hiroya Yamaguchi ◽  
Mamoru Suzuki ◽  
Hidenori Ono
Keyword(s):  
Three Dimensional ◽  
Laryngeal Framework Surgery

Analysis of laryngeal framework surgery: 10-year follow-up to a national survey

2010 ◽  
Vol 120 (8) ◽  
pp. 1602-1608 ◽  
Author(s):  
VyVy N. Young ◽  
Thomas G. Zullo ◽  
Clark A. Rosen
Keyword(s):  
National Survey ◽  
Laryngeal Framework Surgery

Long-term voice outcomes of laryngeal framework surgery for unilateral vocal fold paralysis

2021 ◽  
Author(s):  
Stephanie D. Mes ◽  
Martine Hendriksma ◽  
Bas J. Heijnen ◽  
Ben F. J. Goudsmit ◽  
Jeroen C. Jansen ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Laryngeal Framework Surgery

scholarly journals Using Innovative Acoustic Analysis to Predict the Postoperative Outcomes of Unilateral Vocal Fold Paralysis

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Yung-An Tsou ◽  
Yi-Wen Liu ◽  
Wen-Dien Chang ◽  
Wei-Chen Chen ◽  
Hsiang-Chun Ke ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Linear Prediction ◽  
Acoustic Analysis ◽  
Characteristic Curve ◽  
Voice Quality ◽  
Treatment Strategies ◽  
Vocal Fold Paralysis ◽  
Unilateral Vocal Fold Paralysis ◽  
Outcome Predictor ◽  
Laryngeal Framework Surgery

Objective.Autologous fat injection laryngoplasty is ineffective for some patients with iatrogenic vocal fold paralysis, and additional laryngeal framework surgery is often required. An acoustically measurable outcome predictor for lipoinjection laryngoplasty would assist phonosurgeons in formulating treatment strategies.Methods.Seventeen thyroid surgery patients with unilateral vocal fold paralysis participated in this study. All subjects underwent lipoinjection laryngoplasty to treat postsurgery vocal hoarseness. After treatment, patients were assigned to success and failure groups on the basis of voice improvement. Linear prediction analysis was used to construct a new voice quality indicator, the number of irregular peaks (NIrrP). It compared with the measures used in the Multi-Dimensional Voice Program (MDVP), such as jitter (frequency perturbation) and shimmer (perturbation of amplitude).Results.By comparing the [i] vowel produced by patients before the lipoinjection laryngoplasty (AUC = 0.98, 95% CI = 0.78–0.99), NIrrP was shown to be a more accurate predictor of long-term surgical outcomes than jitter (AUC = 0.73, 95% CI = 0.47–0.91) and shimmer (AUC = 0.63, 95% CI = 0.37–0.85), as identified by the receiver operating characteristic curve.Conclusions.NIrrP measured using the LP model could be a more accurate outcome predictor than the parameters used in the MDVP.

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