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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

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References (4)

Publisher
Wiley
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
DOI
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 Otolaryngology – Wiley

Published: Jan 1, 2018

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