Kiminori Sato, K. Matsushima, N. Isshiki, M. Tanabe, Yusuke Watanabe, H. Edamatsu
When Type Ⅱ thyroplasty is performed, surgical management of the dihedral angle of the midline of the thyroid cartilage is very important. Clinical histoanatomy around the anterior commissure was investigated using whole organ serial sections of the human larynx to make Type Ⅱ thyroplasty successful. An inner perichondrium did not exist at the dihedral angle in the upper three-forths of the midline of the thyroid cartilage. On the other hand, the inner perichondrium was present at the lower one-forth of the midline of the posterior surface of the thyroid cartilage. The attachment of the collagenous fiber （anterior commissure tendon, Broyles, 1943） extends from the upper portion of the thyroid notch caudalward for approximately upper three-forths of the midline of posterior surface of the thyroid cartilage. The midline of the posterior surface of the thyroid cartilage is only covered with thin mucosa at the laryngeal ventricle level. It is important not to perforate the mucosa when the laryngofissure is performed. In order to make the anterior commissure the proper width, it is important to split the anterior commissure tendon at the mid-line and to spread the glottis while making sure the tendons remain attached to the bilateral thyroid cartilage.
{"title":"Clinical Histoanatomy around Anterior Commissure for Type II Thyroplasty Success","authors":"Kiminori Sato, K. Matsushima, N. Isshiki, M. Tanabe, Yusuke Watanabe, H. Edamatsu","doi":"10.5426/LARYNX.26.1","DOIUrl":"https://doi.org/10.5426/LARYNX.26.1","url":null,"abstract":"When Type Ⅱ thyroplasty is performed, surgical management of the dihedral angle of the midline of the thyroid cartilage is very important. Clinical histoanatomy around the anterior commissure was investigated using whole organ serial sections of the human larynx to make Type Ⅱ thyroplasty successful. An inner perichondrium did not exist at the dihedral angle in the upper three-forths of the midline of the thyroid cartilage. On the other hand, the inner perichondrium was present at the lower one-forth of the midline of the posterior surface of the thyroid cartilage. The attachment of the collagenous fiber （anterior commissure tendon, Broyles, 1943） extends from the upper portion of the thyroid notch caudalward for approximately upper three-forths of the midline of posterior surface of the thyroid cartilage. The midline of the posterior surface of the thyroid cartilage is only covered with thin mucosa at the laryngeal ventricle level. It is important not to perforate the mucosa when the laryngofissure is performed. In order to make the anterior commissure the proper width, it is important to split the anterior commissure tendon at the mid-line and to spread the glottis while making sure the tendons remain attached to the bilateral thyroid cartilage.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115143689","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}
A 59-year-old woman with supraglottic T3 cancer was reported. Her right vocal cord lost movement and a tumor was suspected of having invaded the cricoarytenoid joint. She had a history of concurrent chemo-radio-therapy for esophageal cancer and preferred to undergo surgery. We resected a part of the cricoid cartilage beyond the joint and more than a half of thyroid cartilage beyond the midline and reconstructed the larynx by using a forearm free flap. She was discharged 55 days after the surgery and the tracheal stoma closed about a year after the surgery. Five years have passed with no recurrence. She was capable of taking on a normal diet for 30 min-utes without aspiration. Although it took a long time to heal, her laryngeal function was ultimately preserved.
{"title":"A Case of Subtotal Laryngectomy and Reconstruction by Using Forearm Free Flap for Supraglottic T3 Cancer with Cordal Fixation","authors":"S. Yoshimoto, M. Asai","doi":"10.5426/LARYNX.26.52","DOIUrl":"https://doi.org/10.5426/LARYNX.26.52","url":null,"abstract":"A 59-year-old woman with supraglottic T3 cancer was reported. Her right vocal cord lost movement and a tumor was suspected of having invaded the cricoarytenoid joint. She had a history of concurrent chemo-radio-therapy for esophageal cancer and preferred to undergo surgery. We resected a part of the cricoid cartilage beyond the joint and more than a half of thyroid cartilage beyond the midline and reconstructed the larynx by using a forearm free flap. She was discharged 55 days after the surgery and the tracheal stoma closed about a year after the surgery. Five years have passed with no recurrence. She was capable of taking on a normal diet for 30 min-utes without aspiration. Although it took a long time to heal, her laryngeal function was ultimately preserved.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123446003","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 clinical symptoms of laryngeal allergy are persistent cough, itching and irritation of the throat. We en-deavored to shed light on features of antigens and laryngeal findings of laryngeal allergy. A clinical study focus-ing on the diagnosis of laryngeal allergy was carried out on 32 patients exhibiting a persistent cough, itching and irritation of the throat. The diagnosis of laryngeal allergy was confirmed by the effectiveness on H1-blockers along with the presence of specific IgE antibodies by RAST testing. Laryngeal allergy was diagnosed according to the criteria proposed by the Society of Study for Laryngeal Allergy in Japan （2005）. Eighteen of the 32 patients were diagnosed as having laryngeal allergy. A major positive perennial antigen in laryngeal allergy is house dust mite. In comparison to nasal allergy, moth and cockroach antigens has a higher positive frequency with laryngeal allergy. The sensitivity and specificity of nasopharyngeal smears for laryngeal allergy were 67% and 79% , respec-tively. H1-blocker was significantly effective with positive nasopharyngeal smears. There were no typical laryngeal features in laryngeal allergy cases but patients with a higher effect of antihis-tamines exhibited pale laryngeal mucosa.
喉部过敏的临床症状是持续咳嗽、喉咙瘙痒和刺激。我们努力阐明喉部过敏的抗原特征和喉部表现。对32例表现为持续咳嗽、咽喉瘙痒和刺激的患者进行了喉过敏诊断的临床研究。通过RAST检测，证实了h1受体阻滞剂的有效性和特异性IgE抗体的存在，从而证实了喉过敏的诊断。根据日本喉过敏研究协会(Society of Study for喉过敏)(2005)提出的标准诊断喉过敏。32例患者中有18例被诊断为喉部过敏。在喉部过敏中，一个主要的多年生阳性抗原是屋尘螨。与鼻变态反应相比，飞蛾和蟑螂抗原在喉变态反应中有更高的阳性频率。鼻咽涂片对喉部过敏的敏感性和特异性分别为67%和79%。h1阻滞剂对鼻咽涂片阳性患者显著有效。喉部过敏患者无典型喉部特征，但抗他胺药疗效高的患者喉部黏膜呈苍白。
{"title":"Causative Antigens and Laryngeal Findings of Perennial Laryngeal Allergy","authors":"K. Imon, K. Hirakawa, Hiroshi Watanabe","doi":"10.5426/LARYNX.26.12","DOIUrl":"https://doi.org/10.5426/LARYNX.26.12","url":null,"abstract":"The clinical symptoms of laryngeal allergy are persistent cough, itching and irritation of the throat. We en-deavored to shed light on features of antigens and laryngeal findings of laryngeal allergy. A clinical study focus-ing on the diagnosis of laryngeal allergy was carried out on 32 patients exhibiting a persistent cough, itching and irritation of the throat. The diagnosis of laryngeal allergy was confirmed by the effectiveness on H1-blockers along with the presence of specific IgE antibodies by RAST testing. Laryngeal allergy was diagnosed according to the criteria proposed by the Society of Study for Laryngeal Allergy in Japan （2005）. Eighteen of the 32 patients were diagnosed as having laryngeal allergy. A major positive perennial antigen in laryngeal allergy is house dust mite. In comparison to nasal allergy, moth and cockroach antigens has a higher positive frequency with laryngeal allergy. The sensitivity and specificity of nasopharyngeal smears for laryngeal allergy were 67% and 79% , respec-tively. H1-blocker was significantly effective with positive nasopharyngeal smears. There were no typical laryngeal features in laryngeal allergy cases but patients with a higher effect of antihis-tamines exhibited pale laryngeal mucosa.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134345699","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}
Hoshino Takara, S. Agena, A. Kiyuna, H. Maeda, Mikio Suzuki
The incidence of the non-recurrent inferior laryngeal nerve is reported to be approximately 1% of the population. The rare nerve condition was exclusively observed on the right side. The reason for laterality is a congenital abnormality of the right subclavian artery. It is important for surgeons to be vigilant for non-recurrent inferior laryngeal nerve before thyroid and parathyroid surgery. The patient was a 34-year-old male suffering from thyroid papillary carcinoma. He underwent right lobe dissection and D2 dissection. During surgery, we noted a non-recurrent inferior laryngeal nerve emanating directly from the right vagus nerve. The patient didn`t complain of post-operative voice change as the non-recurrent laryngeal nerve was preserved. Post-surgically, we checked the pre-operative cervico-thoracic computed tomography scan again and noticed abnormality of right subclavian artery, branching from the descending aorta and passing behind esophagus.
{"title":"A Case of Thyroid Cancer with a Non-Recurrent Inferior Laryngeal Nerve","authors":"Hoshino Takara, S. Agena, A. Kiyuna, H. Maeda, Mikio Suzuki","doi":"10.5426/LARYNX.26.28","DOIUrl":"https://doi.org/10.5426/LARYNX.26.28","url":null,"abstract":"The incidence of the non-recurrent inferior laryngeal nerve is reported to be approximately 1% of the population. The rare nerve condition was exclusively observed on the right side. The reason for laterality is a congenital abnormality of the right subclavian artery. It is important for surgeons to be vigilant for non-recurrent inferior laryngeal nerve before thyroid and parathyroid surgery. The patient was a 34-year-old male suffering from thyroid papillary carcinoma. He underwent right lobe dissection and D2 dissection. During surgery, we noted a non-recurrent inferior laryngeal nerve emanating directly from the right vagus nerve. The patient didn`t complain of post-operative voice change as the non-recurrent laryngeal nerve was preserved. Post-surgically, we checked the pre-operative cervico-thoracic computed tomography scan again and noticed abnormality of right subclavian artery, branching from the descending aorta and passing behind esophagus.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125162758","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}
K. Matsushima, N. Isshiki, M. Tanabe, Kiminori Sato, Yusuke Watanabe, H. Edamatsu
We reviewed the clinical dissection of anterior commissure, and Type II thyroplasty operative procedures. The handling of the anterior commissure is the most important point in this surgery. An inner perichondrium does not exist in the dorsal midline part of the thyroid cartilage, and the collagenous fiber of the anterior commissure tendon combines with the cartilage matrix of the thyroid cartilage at the vocal cord level. At the supraglottic level, the thyroepiglottic ligament connects with the thyroid cartilage through the collagenous fiber of the anterior commissure tendon which extends to the supraglottics. In order to maintain a moderate glottis split with certainty and permanence, don’t exfoliate this tendon from the thyroid cartilage. It is necessary to split the tendon and to spread the glottis while the tendon is joined with the cartilage. For this purpose, a special spreader was made.
{"title":"Operative Procedure of Anterior Commissure for Making Type II Thyroplasty Successful","authors":"K. Matsushima, N. Isshiki, M. Tanabe, Kiminori Sato, Yusuke Watanabe, H. Edamatsu","doi":"10.5426/LARYNX.26.6","DOIUrl":"https://doi.org/10.5426/LARYNX.26.6","url":null,"abstract":"We reviewed the clinical dissection of anterior commissure, and Type II thyroplasty operative procedures. The handling of the anterior commissure is the most important point in this surgery. An inner perichondrium does not exist in the dorsal midline part of the thyroid cartilage, and the collagenous fiber of the anterior commissure tendon combines with the cartilage matrix of the thyroid cartilage at the vocal cord level. At the supraglottic level, the thyroepiglottic ligament connects with the thyroid cartilage through the collagenous fiber of the anterior commissure tendon which extends to the supraglottics. In order to maintain a moderate glottis split with certainty and permanence, don’t exfoliate this tendon from the thyroid cartilage. It is necessary to split the tendon and to spread the glottis while the tendon is joined with the cartilage. For this purpose, a special spreader was made.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124463472","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}
Toshiki Kobayashi, Toshiki Kobayashi, S. Hirano, I. Tateya, Masanobu Mizuta, J. Ito
Angiolytic laser such as KTP/532 nm, green laser/532 nm, or pulse dye laser (PDL)/585nm have proven useful for the treatment of various vocal fold lesions including hemorrhagic lesions, papilloma, leukoplakia, and Reinke’s edema. Since the laser causes minimal bleeding during the procedure, office based out-patient surgery is well indicated. It has also been confirmed that laser treatment causes negligible heat damage to the underlying tissues because of low lasing power and good absorption of the energy into oxyhemoglobin. The present case series provided safety and vocal outcome of angiolytic laser surgery for 16 cases with hemorrhagic / non-hemorrhagic vocal polyps. The results showed significant i mprovement of vocal function postoperatively with no scarring effects on the vocal folds.
{"title":"Angiolytic Laser Surgery for Vocal Fold Polyps","authors":"Toshiki Kobayashi, Toshiki Kobayashi, S. Hirano, I. Tateya, Masanobu Mizuta, J. Ito","doi":"10.5426/LARYNX.26.18","DOIUrl":"https://doi.org/10.5426/LARYNX.26.18","url":null,"abstract":"Angiolytic laser such as KTP/532 nm, green laser/532 nm, or pulse dye laser (PDL)/585nm have proven useful for the treatment of various vocal fold lesions including hemorrhagic lesions, papilloma, leukoplakia, and Reinke’s edema. Since the laser causes minimal bleeding during the procedure, office based out-patient surgery is well indicated. It has also been confirmed that laser treatment causes negligible heat damage to the underlying tissues because of low lasing power and good absorption of the energy into oxyhemoglobin. The present case series provided safety and vocal outcome of angiolytic laser surgery for 16 cases with hemorrhagic / non-hemorrhagic vocal polyps. The results showed significant i mprovement of vocal function postoperatively with no scarring effects on the vocal folds.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129602988","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}
Patients who suffer serious laryngotracheal stenosis due to a laryngeal trauma need to have framework and airway surface reconstruction ; therefore, they require several more surgeries and protracted treatments in many cases. Patients ’ own tissues such as costochondral, nasal septal cartilage and conchal cartilage, as well as artificial materials such as hydroxylation apatite, titanium mesh and artificial airways developed by advances in regenerative therapy, have been used for the reconstruction framework. We reported on a traumatic laryngeal case, an 18-years-old man, with whom we obtained good result using a spacing device and a plate specially manufactured from titanium for airway reconstruction. Results from this case suggest that using instruments made from titanium for reconstruction of laryngotracheal stenosis minimizes invasive tissue harvesting and shortens the treat-ment period.
{"title":"A Case of Laryngeal Trauma with Laryngotracheal Framework Reconstruction Using Spacing Device and Plate Made from Titanium","authors":"K. Matsushima, N. Isshiki, M. Tanabe, H. Edamatsu","doi":"10.5426/LARYNX.26.36","DOIUrl":"https://doi.org/10.5426/LARYNX.26.36","url":null,"abstract":"Patients who suffer serious laryngotracheal stenosis due to a laryngeal trauma need to have framework and airway surface reconstruction ; therefore, they require several more surgeries and protracted treatments in many cases. Patients ’ own tissues such as costochondral, nasal septal cartilage and conchal cartilage, as well as artificial materials such as hydroxylation apatite, titanium mesh and artificial airways developed by advances in regenerative therapy, have been used for the reconstruction framework. We reported on a traumatic laryngeal case, an 18-years-old man, with whom we obtained good result using a spacing device and a plate specially manufactured from titanium for airway reconstruction. Results from this case suggest that using instruments made from titanium for reconstruction of laryngotracheal stenosis minimizes invasive tissue harvesting and shortens the treat-ment period.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116529888","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":"2 Cases of Arytenoid Cartilage Dislocation","authors":"T. Fukumori, M. Tomifuji, K. Araki, A. Shiotani","doi":"10.5426/LARYNX.26.32","DOIUrl":"https://doi.org/10.5426/LARYNX.26.32","url":null,"abstract":"","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126131748","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. Iwae, Yuji Hirayama, T. Furukawa, N. Morita, Yoko Kamura
We investigate the excisional limitations of larynx preservation by the technique of extended supracricoid laryngectomy (ESCL) with regard to postoperative swallowing function. Twenty-three patients with advanced or recurrent laryngeal squamous cell carcinoma underwent supracricoid laryngectomy from 2005 to 2012 . Extended resection (ESCL) was performed on seven of them. We observed CTCAE v4.0 defined Grade 1 dysphagia in 3 patients, Grade 2 in 2 patients, Grade 3 in 1 patient and had no assessment for 1 patient because of an earlier salvage operation by total laryngectomy. We obtained a good outcome in patients with additional resection of only unidirectional excision of hyoid bone, cricoid arch or arytenoid cartilage, and only in patients in their early sixties or younger. Dysphagia after ESCL is a common result, but we suggest that ESCL is an effective surgical procedure for functional larynx preservation to deal with advanced or recurrent laryngeal cancer if properly performed.
{"title":"Investigation of the Surgical Limitation by Extended Supracricoid Laryngectomy","authors":"S. Iwae, Yuji Hirayama, T. Furukawa, N. Morita, Yoko Kamura","doi":"10.5426/LARYNX.26.22","DOIUrl":"https://doi.org/10.5426/LARYNX.26.22","url":null,"abstract":"We investigate the excisional limitations of larynx preservation by the technique of extended supracricoid laryngectomy (ESCL) with regard to postoperative swallowing function. Twenty-three patients with advanced or recurrent laryngeal squamous cell carcinoma underwent supracricoid laryngectomy from 2005 to 2012 . Extended resection (ESCL) was performed on seven of them. We observed CTCAE v4.0 defined Grade 1 dysphagia in 3 patients, Grade 2 in 2 patients, Grade 3 in 1 patient and had no assessment for 1 patient because of an earlier salvage operation by total laryngectomy. We obtained a good outcome in patients with additional resection of only unidirectional excision of hyoid bone, cricoid arch or arytenoid cartilage, and only in patients in their early sixties or younger. Dysphagia after ESCL is a common result, but we suggest that ESCL is an effective surgical procedure for functional larynx preservation to deal with advanced or recurrent laryngeal cancer if properly performed.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129948719","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}
Mucosa-associated lymphoid tissue(MALT)lymphoma in the larynx is rare. Its treatment has not been standardized and radiation therapy or radiochemotherapy are often selected for stageIE. We report on a case of surgical treatment for stageIE laryngeal MALT lymphoma which occurred in the false vocal cord. The patient was 44-year-old woman exhibiting hoarseness. Fiberscopic examination revealed a tumorous lesion of the right false vocal fold’s surface smooth. The lesion was treated by excisional biopsy under general anesthesia using a CO2 laser. Histological diagnosis was stageIE MALT lymphoma in the larynx. Her voice has improved after surgery. Recurrence has not been observed to the present. Excisional biopsy for localized lesions increases the certainty of diagnosis. And, it can be a radical surgery. Observation is one of the choice for patients of StageIE MALT lymphoma in the larynx after excisional biopsy.
{"title":"A Case of MALT Lymphoma Occurrence in the False Vocal Cord","authors":"T. Iwahashi, R. Mochizuki, H. Muta","doi":"10.5426/LARYNX.26.42","DOIUrl":"https://doi.org/10.5426/LARYNX.26.42","url":null,"abstract":"Mucosa-associated lymphoid tissue(MALT)lymphoma in the larynx is rare. Its treatment has not been standardized and radiation therapy or radiochemotherapy are often selected for stageIE. We report on a case of surgical treatment for stageIE laryngeal MALT lymphoma which occurred in the false vocal cord. The patient was 44-year-old woman exhibiting hoarseness. Fiberscopic examination revealed a tumorous lesion of the right false vocal fold’s surface smooth. The lesion was treated by excisional biopsy under general anesthesia using a CO2 laser. Histological diagnosis was stageIE MALT lymphoma in the larynx. Her voice has improved after surgery. Recurrence has not been observed to the present. Excisional biopsy for localized lesions increases the certainty of diagnosis. And, it can be a radical surgery. Observation is one of the choice for patients of StageIE MALT lymphoma in the larynx after excisional biopsy.","PeriodicalId":126820,"journal":{"name":"THE LARYNX JAPAN","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129153476","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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