Transverse infrahyoid approach to bilateral glottic tumors

Citation
Aj. Reino et al., Transverse infrahyoid approach to bilateral glottic tumors, ANN OTOL RH, 108(1), 1999, pp. 24-30
Citations number
30
Categorie Soggetti
Otolaryngology,"da verificare
Journal title
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
ISSN journal
00034894 → ACNP
Volume
108
Issue
1
Year of publication
1999
Pages
24 - 30
Database
ISI
SICI code
0003-4894(199901)108:1<24:TIATBG>2.0.ZU;2-P
Abstract
Glottic exposure and entry for vertical partial laryngectomy procedures has traditionally been through the subglottis. Although this approach is gener ally satisfactory for the resection of unilateral vocal cord lesions, it ma y be unsafe in cases in which tumors extend across the midline and/or subgl ottically. In these instances, we prefer the superior transverse infrahyoid approach to the glottis, which transacts the petiole of the epiglottis and reflects the contents of the preepiglottic space posterior and superior. T his improved visualization of the larynx has permitted precise tumor excisi on without sacrifice of uninvolved segments of the vocal cords. This proced ure has been performed 35 times over a 15-year period at our institution fo r the resection of bilateral glottic tumors, with and without subglottic ex tension. In none of the cases in which it has been employed was there a pos itive surgical margin.