PMID: 9549124Apr 29, 1998Paper

Fronto-lateral laryngectomy using a combined endolaryngeal external approach

Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale
S ConticelloS Ferlito

Abstract

Functional laryngectomies-whether subtotal (with significant demolition) or conservative (with limited latero-frontal and frontal demolition)-can, at times, lead to significant post operative functional sequelae. Negative outcomes method proposed calls for an internal, endolaryngeal approach along with an external approach. The internal approach makes it possible to carefully delimit the posterior extension of the laryngeal neoplasm. The external approach, on the other hand, makes it possible to remove the anterior commissure and part of one or both vocal cords in a single unit together with a smaller portion of the thyroid cartilage. In particular, the endolaryngeal approach using suspension microlaryngoscopy makes it possible to section the laryngeal structures all the way up to the internal surface of the thyroid cartilage and, anteriorly, along the midline from the incision to the lower edge of the cartilage. From above the larynx is opened by means of a transfixed section of the thyroid membrane and of the epiglottis at the upper edge of the thyroid cartilage. The ends of the section are joined with the upper ends of the section prepared using the endolaryngeal approach. Cranio-caudal dissection of the internal perichondri...Continue Reading

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