Analiza 191 pacjentów z rakiem krtani w oparciu o nową klasyfikację otwartych poziomych laryngektomii częściowych według Europejskiego Towarzystwa Laryngologicznego z 2014 roku
Journal Title: Otolaryngologia Polska - Year 2014, Vol 68, Issue 6
Abstract
Aim: of study was to present material of open partial horizontal laryngectomies (OPHL) in T1b, T2 and T3 larynx cancer treatment in single tertiary referral institution. Material and Methods: Retrospective analysis of operating protocols in patients treated in Poznań ENT University Department between 2000–2012 with glottis (T1b – 185, T2 – 185, T3 – 231) and supraglottis tumors (T1 – 80, T2 – 104, T3 – 206), potentially available for organ preservation treatment. Transoral laser microsurgery, OPHL, radiotherapy and total laryngectomy were treatment options in 210, 191, 271 and 326 patients respectively. OPHL was applied in glottic tumors: 21 – T1b, 103 – T2, 27 – T3 and in supraglottic tumors: 4 – T1, 29 – T2. All procedures were re-evaluated acc. to European Laryngogical Society working committee on nomenclature new classification presented in 2014. Results: There was no discrepancies in supraglottic laryngectomies (4 cases), classified as OPHL Typ I. All the rest: 84 transglottic, 96 supracricoid with CHEP and 7 supracricoid with CHP laryngectomies were re-classified into Typ II (172) and Type III (15) OPHL. Thus, revision of inferior incision changed classification of procedure into supratracheal laryngectomy in 15 cases. Transglottic laryngectomies, in which upper part of thyroid cartilage was preserved and crito-thyreo-pexy was performed (84 pts), have not been distinguished any more. In 7 cases superior incision included epiglottis; thus 165 patients were distinguished as Typ II a and 7 patients as Typ IIb OPHL. The most pronounced difference was stated in description of structures additionally included into surgical specimen: arytenoid (+ARY) in 24, crico-arytenoid-unit (+CAU) in 5 and piriform sinus (+PIR) in 17 cases; none had the base of tongue (+BOT) resected. Conclu sions: In 36/191 additional structures and in 15/191 the cricoid ring resection was re-evaluated and pointed out. All these data were available retrospectively in the operating protocols but not pronounced in surgery headlines. Thanks to the univocal, simple new classification all operation details can be included into operation title.
Authors and Affiliations
Małgorzata Wierzbicka, Witold Szyfter
Keywords
Related Articles
- EP ID EP52557
- DOI -
- Views 87
- Downloads 0
Nutritional status of patients with cancer of larynx and hypopharyx
The aim of the study: The meaning of proper nutritional state in the group of cancer patients in preoperative period was noticed already over 40 years ago. In spite, that treatment of malnutrition is easy, many patients...
Przeznosowy dostęp endoskopowy celem odbarczenia nerwu wzrokowego
Optic nerve decompression is nowadays increasingly performed using endoscopic technique. The aim of this report is to present a clinical series of 8 patients operated on with this technique due to posttraumatic loss of v...
Ocena czynników ryzyka nowotworów jamy ustnej i gardła środkowego u badanych osób w Łodzi w ramach tygodnia aktywności programu profilaktyki nowotworów głowy i szyi
Wprowadzenie. Celem pracy była ocena czynników ryzyka nowotworów jamy ustnej i gardła środkowego u badanych osób w Łodzi w ramach tygodnia aktywności programu profilaktyki nowotworów głowy i szyi. Materiał i metodyka. W...
Nawracające zapalenia opon mózgowo-rdzeniowych w wadach wrodzonych ucha wewnętrznego
Authors present two cases of children with reccurent meningitis and unilateral deafness. Implemented diagnostics (CT, NMR, ABR) revealed one side inner ear congenital malformation in one case and anterior fossa bony defe...
Vestibular function in cochlear implant candidates
Introduction: the main problem of a deaf patient is per se communication process. Some of the patients, who are candidates to cochlear implantation report vertigo or imbalance in some everyday situations. The relation of...