Abstract Laryngofissure is defined in Dorland's dictionary1 as follows: "The operation of opening the larynx by a median incision through the thyroid cartilage with the formation of a wide window: for the removal of cancer of the larynx; median laryngotomy." This operation is an extremely useful and practical tool in the practice of the laryngologist. However, its applicability has certain limitations; if these are disregarded, its use may be hazardous to the continued well-being of the patient. Indications At the Mayo Clinic, we attempt to confine the operation to a few situations. In the treatment of carcinoma of the larynx, we consider that if the lesion is confined to one vocal cord, if it does not extend across the anterior commissure or posterior to the vocal process, and if the vocal cord is not fixed, then laryngofissure may be expected to result in the percentages of five-year cures reported by References 1. Dorland's Illustrated Medical Dictionary , Ed. 23, Philadelphia, W. B. Saunders Company, 1957, p. 730. 2. Schall, L. A.: Carcinoma of the Larynx , New England J. Med. 229:574-576 ( (Oct. 7) ) 1943.Crossref 3. LeJeune, F. E., and Lynch, M. G.: Value of Laryngofissure Operation , Ann. Otol. Rhin. & Laryng. 64:256-262 ( (March) ) 1955. 4. Jackson, C. L.: Laryngofissure for Cancer of Larynx: Observations Based on Series of 50 Consecutive Cases , Arch. Otolaryng. 33:520-535 ( (April) ) 1941. 5. Clerf, L. H.: Cancer of the Larynx: Analysis of 250 Operative Cases , Arch. Otolaryng. 32:484-498 ( (Sept.) ) 1940. 6. Putney, F. J., and Vicens, E. A.: Surgical Treatment of Carcinoma of the Anterior Commissure of the Larynx , Laryngoscope 66:1041-1048 ( (Aug.) ) 1956. 7. Cracovaner, A. J., and Rubenstein, A. S.: The Management of Laryngeal Keratosis by Laryngofissure , A. M. A. Arch. Otolaryng. 63:203-207 ( (Feb.) ) 1956. 8. DeBord, B.: Surgical Management of Laryngeal Disorders by the Laryngofissure Approach , Laryngoscope 67:360-364 ( (April) ) 1957.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: May 1, 1959