This report details the diagnosis and treatment of a patient with a large T3 N0M0 laryngopharyngeal cancer by combined surgical excision and planned postoperative irradiation therapy. Surgical excision included a horizontal subtotal supraglottic laryngectomy combined with a vertical hemilaryngectomy and partial pharyngectomy. The patient was reconstructed with a free sternocleidomastoid muscle graft. The results and implications of this therapy are discussed.
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References
1.
OguraJHSessionsDGSpectorGJAlonsoWA. Roles and limitations of conservation surgical therapy for laryngeal cancer. Can J Otolaryngol1975; 4: 400–2.
2.
OguraJHSessionsDG. Cancer of the larynx and hypo-pharynx. In: AndersonRHoopesJE, eds. Symposium on malignancies of the head and neck. St. Louis: CV Mosby Co, 1975: 138–44.
3.
ArnoldG. Vocal rehabilitation of paralytic dysphonia: IX. Technique of intracordal injection. Arch Otolaryngol1962; 76: 358–68.
4.
LewyRB. Glottic reformation with voice rehabilitation in vocal cord paralysis. Laryngoscope1963; 73: 547–55.
5.
PayrJ. Shildknorpelplastik bei irrepabler Stimmbandlähmung. Dtsch Med Wochenschr1916; 42: 682.
6.
MeurmanY. Operative media fixation of the vocal cord in complete unilateral paralysis. Arch Otolaryngol1952; 55: 544–53.
7.
OpheimO. Unilateral paralysis of the vocal cord. Operative treatment. Acta Otolaryngol (Stockh)1955; 75: 226–30.
8.
WaltnerJG. Surgical rehabilitation of the voice following laryngofissure. Arch Otolaryngol1958; 67: 99–101.
9.
OguraJHDedoHH. Glottic reconstruction following subtotal glottic-supraglottic laryngectomy. Laryngoscope1968; 75: 865–78.
10.
PressmanJJ. Cancer of the larynx: Laryngoplasty to avoid laryngectomy. Arch Otolaryngol1954; 59: 395–412.
11.
BaileyBJ. Partial laryngectomy and laryngoplasty. Laryngoscope1971; 81: 1742–71.
12.
MaranAGDHastMHLeonardJR. Reconstructive surgery for improved glottic closure and voice following partial laryngectomy. Laryngoscope1968; 78: 1916–36.
13.
QuinnHJJr. A new technique for glottic reconstruction after partial laryngectomy. Laryngoscope1969; 79: 1980–2011.
14.
OguraJHBillerHF. Glottic reconstruction following extended frontolateral hemilaryngectomy. Laryngoscope1969; 74: 2181–4.
15.
GoodyearHM. Hemilaryngectomy method maintaining a satisfactory airway and voice. Ann Otol Rhinol Laryngol1949; 58: 581–5.
16.
SomML. Hemilaryngectomy - a modified technique for cordal carcinoma with extension posteriorly. Arch Otolaryngol1951; 54: 524–33.
17.
ConleyJJ. The use of mucosal flaps for wound rehabilitation in partial laryngectomy. Arch Otolaryngol1959; 69: 700–3.
18.
ConleyJJ. Glottic reconstruction and wound rehabilitation. Arch Otolaryngol1961; 74: 21–4.
19.
SessionsDGOguraJHCiralskyRH. Late glottic insufficiency. Laryngoscope1975; 85: 950–9.