Yuri Mitsuhashi, Takahisa Abe, Y. Katori, A. Matsubara
{"title":"Two Cases of Central-part Laryngectomy for Intractable Aspiration","authors":"Yuri Mitsuhashi, Takahisa Abe, Y. Katori, A. Matsubara","doi":"10.5426/larynx.31.171","DOIUrl":"https://doi.org/10.5426/larynx.31.171","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115884976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Chitose, Kiminori Sato, R. Mihashi, M. Fukahori, T. Kurita, S. Sueyoshi, F. Sato, Hisaichiro Tanaka, Kiminobu Sato, T. Ono, H. Umeno
{"title":"Morphological and functional regeneration for prevention of the vocal fold scarring","authors":"S. Chitose, Kiminori Sato, R. Mihashi, M. Fukahori, T. Kurita, S. Sueyoshi, F. Sato, Hisaichiro Tanaka, Kiminobu Sato, T. Ono, H. Umeno","doi":"10.5426/larynx.31.55","DOIUrl":"https://doi.org/10.5426/larynx.31.55","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133455684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dysphagia Practice in Regional Medical Care","authors":"I. Inokuchi","doi":"10.5426/LARYNX.29.30","DOIUrl":"https://doi.org/10.5426/LARYNX.29.30","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130953114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The three most important concerns of patients with laryngeal cancer are achieving a cure, saving their voice, and ensuring their daily life without tracheal stoma. Vertical partial laryngectomy is not suitable as a primary option in the treatment of early glottis cancer due to postoperative hoarseness, although it is superior to other treatments in the local control rate. We herein report the utility of vertical partial laryngectomy as salvage surgery after radiation therapy. A total of 264 patients with early glottis cancer were treated in our institute from 2005 to 2014, including 178 cases of stage T1 and 86 T2. Of these, 234 patients were irradiated with or without chemotherapy. Vertical partial laryngectomy was performed in 29 patients and total laryngectomy in 1 , due to having received radiation therapy in another hospitals previously. Local recurrence occurred in 31 patients who received radiation therapy, and 18 of them were treated with vertical partial laryngectomy. A total of 47 patients received vertical partial laryngectomy as salvage surgery. All except two patients survived with a functional larynx. The local control rate of partial laryngectomy as a salvage surgery was 95 .7%.
{"title":"Vertical Partial Laryngectomy for Laryngeal Cancer as Salvage Surgery","authors":"T. Fujii","doi":"10.5426/larynx.29.52","DOIUrl":"https://doi.org/10.5426/larynx.29.52","url":null,"abstract":"The three most important concerns of patients with laryngeal cancer are achieving a cure, saving their voice, and ensuring their daily life without tracheal stoma. Vertical partial laryngectomy is not suitable as a primary option in the treatment of early glottis cancer due to postoperative hoarseness, although it is superior to other treatments in the local control rate. We herein report the utility of vertical partial laryngectomy as salvage surgery after radiation therapy. A total of 264 patients with early glottis cancer were treated in our institute from 2005 to 2014, including 178 cases of stage T1 and 86 T2. Of these, 234 patients were irradiated with or without chemotherapy. Vertical partial laryngectomy was performed in 29 patients and total laryngectomy in 1 , due to having received radiation therapy in another hospitals previously. Local recurrence occurred in 31 patients who received radiation therapy, and 18 of them were treated with vertical partial laryngectomy. A total of 47 patients received vertical partial laryngectomy as salvage surgery. All except two patients survived with a functional larynx. The local control rate of partial laryngectomy as a salvage surgery was 95 .7%.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"38 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113974241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kano, Hirohito Satoh, Yukio Nomoto, T. Takatori
The main surgical procedures for aspiration prevention surgery are total laryngectomy, separation of the larynx from the trachea, and laryngeal closure. Laryngeal closure has the benefit of being minimally invasive and has thus far been reported many times. However, a tracheal cannula needs to be placed after this surgery. In 2008, we reported on the surgical closure of the larynx by removing the cricoid cartilage. The plasty of tracheostoma in this procedure involves the removal of the cricoid cartilage arch and the subsequent formation of a tracheal hole using the residual “lamina” and tracheal ring as a frame. The tracheal hole becomes triangular in shape with the posterior wall of the glottis at its apex. The rigid “lamina” forming the posterior wall allows this large hole to be maintained as-is without constricting. Furthermore, this “lamina” of the cricoid cartilage constitutes an important structure that reduces the risk of stenosis and prevents obstruction of the tracheal hole due to twisting or bending the neck. This procedure is one method of minimally invasive surgical closure of the larynx, and in addition to preventing aspiration from closure of the glottis, it is a useful surgery emphasized by its ability to meet the expectation of performing unique plasty of tracheostoma without a tracheal cannula.
{"title":"Surgical Closure of the Larynx by Removing Cricoid Cartilage for Airway Management without a Tracheal Cannula","authors":"M. Kano, Hirohito Satoh, Yukio Nomoto, T. Takatori","doi":"10.5426/larynx.29.65","DOIUrl":"https://doi.org/10.5426/larynx.29.65","url":null,"abstract":"The main surgical procedures for aspiration prevention surgery are total laryngectomy, separation of the larynx from the trachea, and laryngeal closure. Laryngeal closure has the benefit of being minimally invasive and has thus far been reported many times. However, a tracheal cannula needs to be placed after this surgery. In 2008, we reported on the surgical closure of the larynx by removing the cricoid cartilage. The plasty of tracheostoma in this procedure involves the removal of the cricoid cartilage arch and the subsequent formation of a tracheal hole using the residual “lamina” and tracheal ring as a frame. The tracheal hole becomes triangular in shape with the posterior wall of the glottis at its apex. The rigid “lamina” forming the posterior wall allows this large hole to be maintained as-is without constricting. Furthermore, this “lamina” of the cricoid cartilage constitutes an important structure that reduces the risk of stenosis and prevents obstruction of the tracheal hole due to twisting or bending the neck. This procedure is one method of minimally invasive surgical closure of the larynx, and in addition to preventing aspiration from closure of the glottis, it is a useful surgery emphasized by its ability to meet the expectation of performing unique plasty of tracheostoma without a tracheal cannula.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127413136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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