Total laryngectomy: A new lateral cervical approach

Total laryngectomy: A new lateral cervical approach KeypointsMinimally invasive technique by lateral cervical approach allows the treatment of both the larynx and the neck nodes.The myocutaneous flap including anterior cervical skin, subcutaneous tissue, platysma, anterior jugular veins, sternohyoid and homohyoid muscles avoids incision of the anterior neck, sparing healthy tissuesThe procedure is completely performed with standard equipment without increasing time nor costs.INTRODUCTIONNowadays, total laryngectomy is primarily performed for advanced laryngeal cancers with involvement of the laryngeal skeleton and/or extending outside the larynx, hypo or oropharynx. Another field of application is represented by salvage surgery following chemo‐radiation therapy failure. In both these situations, laryngectomy is achieved by therapeutic or elective neck dissection. This procedure is carried out by adopting an open trans cervical approach.Transoral total laryngectomy performed with minimally invasive approach has recently been proposed to preserve as much tissue as possible. These techniques require dedicated instruments and the need of staged neck dissection. The idea of a new lateral surgical approach for the treatment of both the larynx and the neck nodes through the same skin incision allows a minimally invasive technique using standard equipment, avoiding any delay of neck treatment involving the removal of the larynx and nodes during the same procedure.TECHNICAL DESCRIPTIONAfter orotracheal intubation, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Total laryngectomy: A new lateral cervical approach

Loading next page...
 
/lp/wiley/total-laryngectomy-a-new-lateral-cervical-approach-wMVIT4W40h
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.12920
Publisher site
See Article on Publisher Site

Abstract

KeypointsMinimally invasive technique by lateral cervical approach allows the treatment of both the larynx and the neck nodes.The myocutaneous flap including anterior cervical skin, subcutaneous tissue, platysma, anterior jugular veins, sternohyoid and homohyoid muscles avoids incision of the anterior neck, sparing healthy tissuesThe procedure is completely performed with standard equipment without increasing time nor costs.INTRODUCTIONNowadays, total laryngectomy is primarily performed for advanced laryngeal cancers with involvement of the laryngeal skeleton and/or extending outside the larynx, hypo or oropharynx. Another field of application is represented by salvage surgery following chemo‐radiation therapy failure. In both these situations, laryngectomy is achieved by therapeutic or elective neck dissection. This procedure is carried out by adopting an open trans cervical approach.Transoral total laryngectomy performed with minimally invasive approach has recently been proposed to preserve as much tissue as possible. These techniques require dedicated instruments and the need of staged neck dissection. The idea of a new lateral surgical approach for the treatment of both the larynx and the neck nodes through the same skin incision allows a minimally invasive technique using standard equipment, avoiding any delay of neck treatment involving the removal of the larynx and nodes during the same procedure.TECHNICAL DESCRIPTIONAfter orotracheal intubation,

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off