Combined pre-operative telecobalt therapy and supraglottic laryngectomy

1981 ◽  
Vol 95 (3) ◽  
pp. 305-310 ◽  
Author(s):  
S. L. Sellars ◽  
E. E. D. Mills ◽  
A. B. Seid

SummaryAt Groote Schuur Hospital, Cape Town, over a 5-year period (1974 to 1978) 15 patients with squamous cell carcinoma of the larynx or hypopharynx have had planned 2,000 Rad Telecobalt therapy followed by supraglottic horizontal laryngectomy. Five patients following surgery had a further 3,600–4,000 Rad Telecobalt therapy.The peri-operative complications, in addition to those of whole organ resection, included debilitating laryngeal incompetence in three patients, two of whom underwent total laryngectomy. All 15 patients have remained free of recurrent disease for 2 years and 10 have been free for 3 or more years. One patient dies 4 years after surgery from a primary bronchial carcinoma.

2001 ◽  
Vol 115 (5) ◽  
pp. 388-392 ◽  
Author(s):  
David Veivers ◽  
Andréa de Vito ◽  
Kuauhyama Luna-Ortiz ◽  
Daniel Brasnu ◽  
Ollivier Laccourreye

The objective of this paper was to evaluate the potential utility of supracricoid partial laryngectomies (SCPLS) for non-squamous cell carcinoma of the larynx. To illustrate our management of such tumours we present a case series based on six patients. Local control was achieved in five patients, with the sixth being salvaged by total laryngectomy and post-operative radiation therapy. Three of the six patients died of distant metastases. We concluded that supracricoid partial laryngectomies should become part of the armamentarium of the otolaryngologist - head and neck surgeon for non-squamous cell carcinoma of the larynx.


2019 ◽  
Vol 42 (6) ◽  
pp. 527-533 ◽  
Author(s):  
James E. Bates ◽  
Robert J. Amdur ◽  
Christopher M. Morris ◽  
Kathryn E. Hitchcock ◽  
Peter T. Dziegielewski ◽  
...  

2021 ◽  
Vol 3 (3) ◽  
pp. 64-66
Author(s):  
Mohamed Chehbouni ◽  
Othmane Benhoummad

Laryngeal squamous cell carcinomas represent the most frequent form (over 90%) of laryngeal cancer, but their association with renal tumors is rare; the literature most often reports the synchronous association of carcinoma of the larynx with carcinoma of the upper aerodigestive tract or with bronchial carcinoma. We report the case of a 60-year-old patient, who is followed for a clear cell carcinoma of the kidney, and in whom we made the diagnosis of a squamous cell carcinoma of the larynx. We illustrate through this observation the rarity and the epidemiological profile of this presentation with a broad review of the literature.


1994 ◽  
Vol 108 (11) ◽  
pp. 995-997 ◽  
Author(s):  
Kazutaka Hisashi ◽  
Shizuo Komune ◽  
Hisashi Inoue ◽  
Sohtaro Komiyama ◽  
Takuya Sugimoto ◽  
...  

AbstractA 66-year-old Japanese man was diagnosed as having a MALT-type lymphoma by histopathological examination. The lesion involved the vocal folds bilaterally, occupying the larynx and extending beyond it, as shown by computed tomography (CT). A course of radiation therapy with moderate doses was given. Six months later, a squamous cell carcinoma was found in the larynx and total laryngectomy was then performed. The patient remained well, without recurrence, 46 months after the operation, thus, MALT-type lymphoma may coexist with a squamous cell carcinoma of the larynx.


2020 ◽  
Vol 134 (3) ◽  
pp. 256-262
Author(s):  
C S G Thompson ◽  
P Asimakopoulos ◽  
A Evans ◽  
G Vernham ◽  
A J Hay ◽  
...  

AbstractBackgroundTotal laryngectomy is often utilised to manage squamous cell carcinoma of the larynx or hypopharynx. This study reports on surgical trends and outcomes over a 10-year period.MethodA retrospective review of patients undergoing total laryngectomy for squamous cell carcinoma was performed (n = 173), dividing patients into primary and salvage total laryngectomy cohorts.ResultsA shift towards organ-sparing management was observed. Primary total laryngectomy was performed for locoregionally advanced disease and utilised reconstruction less than salvage total laryngectomy. Overall, 11 per cent of patients developed pharyngocutaneous fistulae (primary: 6 per cent; salvage: 20 per cent) and 11 per cent neopharyngeal stenosis (primary: 9 per cent; salvage: 15 per cent). Pharyngocutaneous fistulae rates were higher in the reconstructed primary total laryngectomy group (24 per cent; 4 of 17), compared with primary closure (3 per cent; 3 of 90) (p = 0.02). Patients were significantly more likely to develop neopharyngeal stenosis following pharyngocutaneous fistulae in salvage total laryngectomy (p = 0.01) and reconstruction in primary total laryngectomy (p = 0.02). Pre-operative haemoglobin level and adjuvant treatment failed to predict pharyngocutaneous fistulae development.ConclusionComplications remain hard to predict and there are continuing causes of morbidity. Additionally, prior treatment continues to affect surgical outcomes.


2002 ◽  
Vol 126 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Yutaka Imauchi ◽  
Ken Ito ◽  
Esao Takasago ◽  
Ken-Ichi Nibu ◽  
Masashi Sugasawa ◽  
...  

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