Endoscope‐assisted conservative resection and reconstruction in recurrent subglottic carcinoma

Endoscope‐assisted conservative resection and reconstruction in recurrent subglottic carcinoma INTRODUCTIONCarcinoma of the subglottis is relatively rare compared with other laryngeal subsites. Recurrence in a case of carcinoma subglottis, which was previously treated by radiotherapy, is usually managed by total laryngectomy. The reasons for this are the difficulty to leave a functional larynx after oncological resection and difficult visualization for surgical access. A detailed literature review on the subject shows that conservative open surgical resection and/or reconstruction of recurrent carcinoma of the subglottis has not been explored much before.CASE REPORTWe present the case of a 49‐year‐old man who came to us with the complaint of hoarseness of his voice. He had a known case of carcinoma of the subglottis, for which post laser excision was done on August 14, 2013, followed by radiotherapy at a dose of 60 Gy/30 fractions, which was completed on October 25, 2013. There was no history of any addictions or systemic diseases. He was apparently normal for 1 year when he developed hoarseness of his voice, for which he underwent a CT scan at a local center, which showed a recurrent lesion in the glottic‐subglottic area. The presence of the lesion was confirmed by videolaryngoscopy, which showed a proliferative lesion involving the subglottis, mainly http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Head & Neck: Journal for the Sciences & Specialties of the Head and Neck Wiley

Endoscope‐assisted conservative resection and reconstruction in recurrent subglottic carcinoma

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
1043-3074
eISSN
1097-0347
D.O.I.
10.1002/hed.25083
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONCarcinoma of the subglottis is relatively rare compared with other laryngeal subsites. Recurrence in a case of carcinoma subglottis, which was previously treated by radiotherapy, is usually managed by total laryngectomy. The reasons for this are the difficulty to leave a functional larynx after oncological resection and difficult visualization for surgical access. A detailed literature review on the subject shows that conservative open surgical resection and/or reconstruction of recurrent carcinoma of the subglottis has not been explored much before.CASE REPORTWe present the case of a 49‐year‐old man who came to us with the complaint of hoarseness of his voice. He had a known case of carcinoma of the subglottis, for which post laser excision was done on August 14, 2013, followed by radiotherapy at a dose of 60 Gy/30 fractions, which was completed on October 25, 2013. There was no history of any addictions or systemic diseases. He was apparently normal for 1 year when he developed hoarseness of his voice, for which he underwent a CT scan at a local center, which showed a recurrent lesion in the glottic‐subglottic area. The presence of the lesion was confirmed by videolaryngoscopy, which showed a proliferative lesion involving the subglottis, mainly

Journal

Head & Neck: Journal for the Sciences & Specialties of the Head and NeckWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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