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FRONTO-LATERAL LARYNGECTOMY AND EPİGLOTTİC LARYNGOPLASTY İN EARLY STAGED GLOTTİC CANCER

Year 2004, Volume: 10 Issue: 4, 161 - 164, 01.12.2004

Abstract

This study was conducted on 81 larynx carcinoma patients who were treated surgically from January 1992 until January 2003 with frontolateral laryngectomy and epiglottic laryngoplasty. 12 patients had T2N0M0 and 69 patients had T1bN0M0 glottic carcinomas. In 16 of them, one arytenoid was sacrified and in the remaining 65 patients, both arytenoids were preserved. So, 2 groups, frontolateral laryngectomized n=65 and extended frontolateral laryngectomized n=16 were described. Surgical defects in all patients were reconstructed using epiglottic pull-down method as described by Tucker. Decanulation and oral feeding times were rewieved and compared. There is a statistically significant difference in oral feeding and decannulation times between this 2 groups. None of the cases had aspiration and dyspnea problems. Frontolateral laryngectomy and extended frontolateral laryngectomy with epiglottic pull-down method, with it`s advantages, such as reconstruction of the laryngeal structures in one stage, early oral feedinf time, early decanulation, a satisfactory voice quality and minimal morbidity is a acceptable laryngeal reconstruction method

References

  • Lee KJ. Essential Otolaryngology. 5. Edition Medical Examination Publishing Company. 1991; pp: 513, 537, 685
  • Becker W, Naumann HH, Pfaltz CR. Kulak Burun Boğaz Hastalıkları 1. Baskı 1993; pp: 421-32
  • Paparella MM, Shrumrick DA, Gluckman JL, Meyerhof WL. Otolaryngology 3. Edition Saunders Company.1991; (3),pp: 2307-65
  • Cummings CW, Frederickson JM, Harker LA, Krause CJ, Schuller DE. Otolaryngology Head and Neck Surgery 1993. 2. Edition Mosby Company (1) pp:88; (3) pp:2122
  • Bron L, Brosard E, Monnier P, Pashe P. Supracricoid partial Laryngectomy with CHEP and CHP for Glottic and Supraglottic carcinomas. Laryngoscope 2000; (110): 627-634
  • Ömür M, Doğan Ö, Kaleli EÇ. Larenks Kanseri ve Boyun 1. Baskı 1990 pp: 249-250
  • Eliachar İ, Papay F, Tucker M.: Laryngotracheal reconstruction: Extended vertical partial larengectomi.: Reconstruction combining epiglottoplasty and rotary door flap. Otolaryngol Clin North Am 1992; (24): 1367-1384
  • Piquet JJ, Chevalier D, Garcette L, Darras JA.: Les indications theropeutiques des cancers du plan glottique. J FR Oto Rhino Laryngol 1988; (37): 257-262
  • Piquet JJ, Chevalier D, Darras JA, Roux X.: Laryngectomie avec epiglottoplastie de Tucker. Ann Otol Laryngol (Paris) 1990; (107): 555-8
  • Tucker HM, Wood BG, Levine H, Katz R. Glottic reconstruction after near total laryngectomy. Laryngoscope. 1979; 89 (4): 609- 18.
  • Dubreuil C, Mader JY, Morgona A.: La laryngectomi frontale anterieure reconstructive de Kambic-Tucker. J Fr ORL 1986; (35): 477-81
  • Perrin C, Brunet A, Apap E.: La laryngectomi frontale anterieure avec epiglottoplastie de glissement. Ann Otol Laryngol (Paris). 1987; (104): 277-9
  • Giovanni A, Guelfucci B, Gras R, Yu P, Zanaret M. Partial frontolateral laryngectomy with epiglottic reconstruction for management of early-stage glottic carcinoma. Laryngoscope 2001; 111 (4 Pt 1): 663-8
  • Schroder U, Eckel HE, Jungehulsing M, Thumfart W. Indications, technic and results following Sedlacek-Kambic-Tucker reconstructive partial resection of the larynx. HNO 1997; 45 (11): 915-22
  • Rucci L, Gallo O, Fini-Storchi O. Glottic cancer involving anterior commissure: surgery vs radiotherapy. Head Neck 1991; 13 (5): 403-10
  • Schwerdtfeger FP, Gosepath J. Long-term study following frontolateral partial larynx resection. Laryngorhinootologie 1990; 69 (7): 347-51
  • Schroder U, Eckel HE, Jungehulsing M, Thumfart W. Indications, technic and results following Sedlacek-Kambic-Tucker reconstructive partial resection of the larynx HNO. 1997; 45 (11): 915-22.
  • Nong HU, Mo W, Huang GW, Chen L, Guo YC. Epiglottic laryngoplasty after hemilaryngectomy for glottic cancer. Otolaryngol Head Neck Surg. 1991; 104 (6): 809-13.

ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ

Year 2004, Volume: 10 Issue: 4, 161 - 164, 01.12.2004

Abstract

Bu çalışma, Ocak 1992- Ocak 2003 yılları arasında larinks kanseri nedeniyle fronto-lateral larenjektomi ve epiglottik laringoplasti ile rekonstrüksiyon yapılan 81 olgu üzerinde gerçekleştirilmiştir. Olguların 12 tanesinde T2N0M0, 69 tanesinde ise T1bN0M0 glottik kanser mevcuttu. Olguların 16’sında ameliyat esnasında bir aritenoid feda edilmiş, 65’inde ise aritenoidler korunmuştur. Bu şekilde frontolateral larenjektomili n=65 ve genişletilmiş frontolateral larenjektomili n=16 hastalar olmak üzere 2 grup oluşturulmuştur. Tüm olgularda Tucker yöntemiyle epiglottik pulldown yapılarak operasyon defekti rekonstrükte edildi. Olguların dekanülman süresi ve oral beslenmeye geçiş süreleri karşılaştırıldı. Bu 2 hasta grubunun oral beslenmeye geçiş ve dekanülman süreleri arasında istatistiksel anlamlı fark bulunmuştur. Hiçbir olguda aspirasyona ilişkin problem olmamış ve dispne gelişmemiştir. Frontolateral larenjektomi ve genişletilmiş frontolateral larenjektomi yapılan olgularda epiglottik larengoplasti yöntemi, larinks yapılarının tek seansta rekonstrüksiyonunu sağlaması, kısa sürede oral beslenmeye geçiş, kısa sürede dekanüle edilebilmesi, iyi bir ses kalitesi sağlaması ve minimal morbiditeye neden olması gibi avantajları ile seçkin bir larengeal rekonstrüksiyon yöntemidir

References

  • Lee KJ. Essential Otolaryngology. 5. Edition Medical Examination Publishing Company. 1991; pp: 513, 537, 685
  • Becker W, Naumann HH, Pfaltz CR. Kulak Burun Boğaz Hastalıkları 1. Baskı 1993; pp: 421-32
  • Paparella MM, Shrumrick DA, Gluckman JL, Meyerhof WL. Otolaryngology 3. Edition Saunders Company.1991; (3),pp: 2307-65
  • Cummings CW, Frederickson JM, Harker LA, Krause CJ, Schuller DE. Otolaryngology Head and Neck Surgery 1993. 2. Edition Mosby Company (1) pp:88; (3) pp:2122
  • Bron L, Brosard E, Monnier P, Pashe P. Supracricoid partial Laryngectomy with CHEP and CHP for Glottic and Supraglottic carcinomas. Laryngoscope 2000; (110): 627-634
  • Ömür M, Doğan Ö, Kaleli EÇ. Larenks Kanseri ve Boyun 1. Baskı 1990 pp: 249-250
  • Eliachar İ, Papay F, Tucker M.: Laryngotracheal reconstruction: Extended vertical partial larengectomi.: Reconstruction combining epiglottoplasty and rotary door flap. Otolaryngol Clin North Am 1992; (24): 1367-1384
  • Piquet JJ, Chevalier D, Garcette L, Darras JA.: Les indications theropeutiques des cancers du plan glottique. J FR Oto Rhino Laryngol 1988; (37): 257-262
  • Piquet JJ, Chevalier D, Darras JA, Roux X.: Laryngectomie avec epiglottoplastie de Tucker. Ann Otol Laryngol (Paris) 1990; (107): 555-8
  • Tucker HM, Wood BG, Levine H, Katz R. Glottic reconstruction after near total laryngectomy. Laryngoscope. 1979; 89 (4): 609- 18.
  • Dubreuil C, Mader JY, Morgona A.: La laryngectomi frontale anterieure reconstructive de Kambic-Tucker. J Fr ORL 1986; (35): 477-81
  • Perrin C, Brunet A, Apap E.: La laryngectomi frontale anterieure avec epiglottoplastie de glissement. Ann Otol Laryngol (Paris). 1987; (104): 277-9
  • Giovanni A, Guelfucci B, Gras R, Yu P, Zanaret M. Partial frontolateral laryngectomy with epiglottic reconstruction for management of early-stage glottic carcinoma. Laryngoscope 2001; 111 (4 Pt 1): 663-8
  • Schroder U, Eckel HE, Jungehulsing M, Thumfart W. Indications, technic and results following Sedlacek-Kambic-Tucker reconstructive partial resection of the larynx. HNO 1997; 45 (11): 915-22
  • Rucci L, Gallo O, Fini-Storchi O. Glottic cancer involving anterior commissure: surgery vs radiotherapy. Head Neck 1991; 13 (5): 403-10
  • Schwerdtfeger FP, Gosepath J. Long-term study following frontolateral partial larynx resection. Laryngorhinootologie 1990; 69 (7): 347-51
  • Schroder U, Eckel HE, Jungehulsing M, Thumfart W. Indications, technic and results following Sedlacek-Kambic-Tucker reconstructive partial resection of the larynx HNO. 1997; 45 (11): 915-22.
  • Nong HU, Mo W, Huang GW, Chen L, Guo YC. Epiglottic laryngoplasty after hemilaryngectomy for glottic cancer. Otolaryngol Head Neck Surg. 1991; 104 (6): 809-13.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Levent Olgun This is me

Gürol Gültekin This is me

Tolga Kandoğan This is me

Sezaver Alper This is me

Zafer Eryılmaz This is me

Publication Date December 1, 2004
Published in Issue Year 2004 Volume: 10 Issue: 4

Cite

APA Olgun, L., Gültekin, G., Kandoğan, T., Alper, S., et al. (2004). ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi, 10(4), 161-164.
AMA Olgun L, Gültekin G, Kandoğan T, Alper S, Eryılmaz Z. ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ. İzmir EAH Tıp Der. December 2004;10(4):161-164.
Chicago Olgun, Levent, Gürol Gültekin, Tolga Kandoğan, Sezaver Alper, and Zafer Eryılmaz. “ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ”. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi 10, no. 4 (December 2004): 161-64.
EndNote Olgun L, Gültekin G, Kandoğan T, Alper S, Eryılmaz Z (December 1, 2004) ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi 10 4 161–164.
IEEE L. Olgun, G. Gültekin, T. Kandoğan, S. Alper, and Z. Eryılmaz, “ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ”, İzmir EAH Tıp Der, vol. 10, no. 4, pp. 161–164, 2004.
ISNAD Olgun, Levent et al. “ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ”. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi 10/4 (December 2004), 161-164.
JAMA Olgun L, Gültekin G, Kandoğan T, Alper S, Eryılmaz Z. ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ. İzmir EAH Tıp Der. 2004;10:161–164.
MLA Olgun, Levent et al. “ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ”. İzmir Eğitim Ve Araştırma Hastanesi Tıp Dergisi, vol. 10, no. 4, 2004, pp. 161-4.
Vancouver Olgun L, Gültekin G, Kandoğan T, Alper S, Eryılmaz Z. ERKEN EVRE GLOTTİK KANSERLERDE FRONTO-LATERAL LARENJEKTOMİ VE EPİGLOTTİK LARİNGOPLASTİ. İzmir EAH Tıp Der. 2004;10(4):161-4.