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Squamous Cell Head and Neck Cancer pp 27–42Cite as

Laryngeal Preservation Surgery

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Part of the book series: Current Clinical Oncology ((CCO))

Abstract

Patients afflicted with selected laryngeal and hypopharyngeal cancers have garnered benefit from laryngeal preservation procedures for more than a century. Billroth performed the first hemilaryngectomy for malignancy in 1874 (1). Over the ensuing decades numerous procedures evolved to afford patients the maintenance of speech and swallowing without permanent tracheostomy. In 1947, Alonso (2,3) first described the open supraglottic laryngectomy to spare the true vocal cords and arytenoids by resecting the upper portion of the thyroid cartilage with the supraglottic structures. The procedure was popularized in Europe by Bocca and in the United States by Ogura, Som, and Kirchner (4). The boundaries of resection were pushed further by Majer and Reider (5) in 1959 with the introduction of the supracricoid partial laryngectomy, which provided an alternative to total laryngectomy for patients with selected glottic and supraglottic cancers. Critical review has provided refinements in these procedures. Specific indications have been established based on an improved understanding of surgical anatomy and patterns of tumor spread that have allowed for selected ablation of laryngeal components without the need for total laryngectomy and its associated morbidity.

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References

  1. Tucker HM. Conservation laryngeal surgery in the elderly patient. Laryngoscope 1977; 87:1995.

    Article  PubMed  CAS  Google Scholar 

  2. Alonso JM. Conservative surgery of the larynx. Trans Am Acad Ophthalmol Otolaryngol 1947; 51:633–642.

    Google Scholar 

  3. Alonso CM, Jackson CL. Conservation of function in surgery of cancer of the larynx bases, techniques and results. Trans Am Acad Ophthalmol Otolaryngol 1952; 56:722.

    PubMed  CAS  Google Scholar 

  4. Weinstein GS, Laccourreye O, Rassekh C. Conservation laryngeal surgery. In: Cummings et al., eds. Otolaryngology— Head and Neck Surgery, 2nd ed. St. Louis, Mosby, 1993.

    Google Scholar 

  5. Majer H, Reider W: Technique de laryngectomie permettant de conserver la permeabilité respiratoire de la cricohyoido-pexie. Ann Otolarygol Chir Cervicofac 76:677–683, 1959.

    CAS  Google Scholar 

  6. Bailey BJ, Johnson JT, Kohut RI, et al. Head and Neck Surgery-Otolaryngology. Philadelphia, JB Lippincott, 1993.

    Google Scholar 

  7. Cummings CW, Frederickson JM, Harker LA, et al. (eds.). Otolaryngology—Head and Neck Surgery, 2nd ed. St. Louis, Mosby, 1993.

    Google Scholar 

  8. Fried MP. The Larynx—A Multidisciplinary Approach, 2nd ed. St. Louis, Mosby, 1996.

    Google Scholar 

  9. Tucker HM. Developmental anatomy. In: Tucker HM, ed. The Larynx. New York, Thieme, 1987:18.

    Google Scholar 

  10. Johnson J, Curtin H. Carcinoma of the Supraglottic Larynx. Alexandria, VA, American Academy of Otolaryngology—Head and Neck Surgery Foundation, 2000:17.

    Google Scholar 

  11. Lee KJ. Essential Otolaryngology, 8th ed. New York, McGraw Hill, 2003:724.

    Google Scholar 

  12. Kirchner JA. One hundred laryngeal cancers studied by serial section. Laryngoscope 1969; 78:689.

    CAS  Google Scholar 

  13. Kirschner JA, Owens JR. Five hundred cancers of the larynx and pyriform sinus: results of treatment by radiation and surgery. Laryngoscope 1977; 87:1288–1303.

    Article  Google Scholar 

  14. Byers RM, Wolf PF, Ballantyne AJ. Rationale for elective modified neck dissection. Head Neck Surg 1988; 10:160–167.

    Article  PubMed  CAS  Google Scholar 

  15. Probert JC, Thompson RW, Bagshaw MA. Patterns of spread of distant metastases in head and neck cancer. Cancer 1974; 33:127–133.

    Article  PubMed  CAS  Google Scholar 

  16. Hyams VS, Batsakis JG, Michaels L. Tumors of the upper respiratory tract and ear. In: Hartman WH, Sobin LH, eds. An Atlas of Tumor Pathology. Bethesda, MD, Armed Forces Institute of Pathology, 1988 pp. 256–298.

    Google Scholar 

  17. Nicolai P, Ferlito A, Sasaki CT. Laryngeal chondrosarcoma: incidence, pathology, biological behavior and treatment. Ann Otol Rhinol Laryngol 1990; 99:515–523.

    PubMed  CAS  Google Scholar 

  18. Snyderman C, Johnson JT, Barnes L. Carcinoid tumor of the larynx: case report and review of the world literature. Otolaryngol Head Neck Surg 1986; 95:158–164.

    PubMed  CAS  Google Scholar 

  19. Kirchner JA. Two hundred laryngeal cancers: patterns of growth and spread as seen in serial section. Laryngoscope 1977; 87:474.

    Article  PubMed  CAS  Google Scholar 

  20. Olofsson J, Lord IJ, van Nostrand AWP. Vocal cord fixation in laryngeal carcinoma, Acta Otolaryngol 1973; 75:496.

    PubMed  CAS  Google Scholar 

  21. Lutz CK, et al. Supraglottic carcinoma: patterns of recurrence, Ann Otol Rhinol Laryngol 99:12, 1990.

    PubMed  CAS  Google Scholar 

  22. Kikinis R, et al. Larynx: MR imaging at 2.35 T. Radiology 1989; 171:165.

    PubMed  CAS  Google Scholar 

  23. Loevner L, et al. Can MR accurately predict pre-epiglottic fat invasion, 81st Scientific Assembly and Annual Meeting of the Radiologic Society of North America, Chicago, 1995.

    Google Scholar 

  24. Becker M, et al. Neoplastic invasion of the laryngeal cartilage: comparison of MR imaging and CT with histopathologic correlation. Radiology 1995; 194:661.

    PubMed  CAS  Google Scholar 

  25. Cancer AJCO. Manual for staging of cancer. Philadelphia, JB Lippincott, 1988.

    Google Scholar 

  26. Laccourreye H, et al. Vertical partial laryngectomy: a critical analysis of local recurrence, Ann Otol Rhinol Laryngol 1991; 100:68.

    PubMed  CAS  Google Scholar 

  27. Neel B, Devine DD, Desanto LW, Laryngofissure and cordectomy for early cordal carcinoma: outcome in 182 patients. Otolaryngol Head Neck Surg 1980; 88:79.

    PubMed  Google Scholar 

  28. Daly JF, Kwok FN. Laryngofissure and cordectomy. Laryngoscope 1975; 85:1290.

    Article  PubMed  CAS  Google Scholar 

  29. Thomas JV, et al. Early glottic carcinoma treated with open laryngeal procedures. Arch Otolaryngol Head Neck Surg 1994; 120:264.

    PubMed  CAS  Google Scholar 

  30. Brasnu D, et al. False vocal cord reconstruction of the glottis following vertical partial laryngectomy: a preliminary analysis. Laryngoscope 1992; 102:717.

    Article  PubMed  CAS  Google Scholar 

  31. Bailey BJ, Johnson JT, Kohut RI, et al. Head and Neck Surgery—Otolaryngology, vol 2, 3rd ed, vol 2., Philadelphia, JB Lippincott, 2001:1476.

    Google Scholar 

  32. Olsen KD, DeSanto LW. Partial laryngectomy—indications and surgical technique. Am J Otolaryngol 1990; 11:153.

    Article  PubMed  CAS  Google Scholar 

  33. Johnson JT, et al. Outcome of open surgical therapy for glottic carcinoma. Ann Otol Rhinol Laryngol 1993; 102:752.

    PubMed  CAS  Google Scholar 

  34. Laccourreye O, et al. Vertical partial laryngectomy: a critical analysis of local recurrence, Ann Otol Rhinol Laryngol 1991; 100:68.

    PubMed  CAS  Google Scholar 

  35. Lai SY, Laccourreye O, Weinstein GS. Supracricoid partial larygectomy with cricohyoidopexy. In: Friedman M, ed. Operative Techniques in Otolaryngology Head and Neck Surgery, vol 14, Orlando, WB Saunders, 2003:34–39.

    Google Scholar 

  36. Laccourreye H, Laccourreye O, Weinstein, GS, et al. Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol 1990; 99:421–426.

    PubMed  CAS  Google Scholar 

  37. Nadou P, Laccourreye O, Weinstein GS, et al. Functional outcome and prognosis factors after supracricoid partial laryngectomy with cricohyoidopexy. Ann Otol Rhinol Laryngol 1997; 106:291–295.

    Google Scholar 

  38. Laccourreye O, Weinstein GS, Brasnu, et al. A clinical trial of continuous cisplatin-fluorouracil induction chemotherapy and supracricoid partial laryngectomy for glottic carcinoma classified as T2. Cancer 1994; 74:2781–2790.

    Article  PubMed  CAS  Google Scholar 

  39. Laccourreye O, Weinstein GS, Brasnu D, et al. Glottic carcinoma with a fixed true vocal cord: outcomes after neoadjuvant chemotherapy and supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Otol Head Neck Surg 1996; 114:440–446.

    Article  Google Scholar 

  40. Piquet JJ, Cevalier D. Subtotal laryngectomy with crico-hyoido-epiglottopexy for the treatment of extended glottic carcinomas. Am J Surg 1991; 162:357–361.

    Article  PubMed  CAS  Google Scholar 

  41. Laccourreye H, et al. Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol 1990; 99:421.

    PubMed  CAS  Google Scholar 

  42. Laccourreye O, et al. Glottic carcinoma with a fixed true vocal cord: outcomes after neoadjuvant chemotherapy and supracricoid partial laryngectomy with cricohyoidoepiglottopexy, Otolaryngol Head Neck Surg 1996; 114:400.

    Article  PubMed  CAS  Google Scholar 

  43. Bocca E, Pignataro O, Oldini C. Supraglottic laryngectomy: 30 years experience. Ann Otol Rhinol Laryngol 1983; 92:14–18.

    PubMed  CAS  Google Scholar 

  44. DeSanto LW. Early supraglottic carcinoma. Ann Otol Rhinol Laryngol 1990; 99:593–597.

    PubMed  CAS  Google Scholar 

  45. DeSanto LW. Cancer of the supraglottic larynx: a review of 260 patients. Otolaryngol Head Neck Surg 1985; 93:705–711.

    PubMed  CAS  Google Scholar 

  46. Laccourreye H, et al. Supracricoid laryngectomy with cricohyoidopexy: a partial laryngeal procedure for selected supraglottic and transglottic carcinomas. Laryngoscope 1990; 100:735.

    PubMed  CAS  Google Scholar 

  47. Laccourreye O, et al. Cricohyoidopexy in selected infrahyoid epiglottic carcinomas presenting with pathologic preepiglottic space invasion. Arch Otolaryngol Head Neck Surg 1993; 119:881.

    PubMed  CAS  Google Scholar 

  48. Chevalier D, Piquet JJ. Subtotal laryngectomy with cricohyoidopexy for supraglottic carcinoma: review of 61 cases. Am J Surg 1994; 168(5):472,473.

    Article  PubMed  CAS  Google Scholar 

  49. Pearson B. Near-total laryngectomy. In: Silver CE, ed. Atlas of Head and Neck Surgery. New York, Churchill Livingstone, 1986:235–252.

    Google Scholar 

  50. Hoasjoe DK, Martin GF, Doyle PC, Wong FS. A comparative acoustic analysis of voice production by near-total laryngectomy and normal laryngeal speakers. J Otolaryngol 1992; 21:39–43.

    PubMed  CAS  Google Scholar 

  51. Weinberg B, Horii Y, Blom E, Singer M. Airway resistance during esophageal phonation. J Speech Hear Disord 1982; 47:194–199.

    PubMed  CAS  Google Scholar 

  52. Pearson BW, DeSanto LW, Olsen KD, et al. Results of near-total laryngectomy. Ann Oto Rhinol Laryngol 1998; 107:820–825.

    CAS  Google Scholar 

  53. Barthel SW, Esclamado RM. Primary radiation therapy for early glottic cancer. Otolaryngol Head Neck Surg 2001; 124:35–39.

    Article  PubMed  CAS  Google Scholar 

  54. DeSanto LW, Lillie JC, Devine KD. Surgical Salvage after radiation for laryngeal cancer. Laryngoscope 1975; 85:649–56.

    Article  Google Scholar 

  55. Laccourreye O, et al. Supracricoid partial laryngectomy after failed laryngeal radiation therapy. Laryngoscope 1996; 106:495.

    Article  PubMed  CAS  Google Scholar 

  56. Ogura JH, Marks JE, Freemant RB. Results of conservation surgery for cancers of the supraglottic and pyriform sinus. Laryngoscope YEAR; 90:591–600.

    Google Scholar 

  57. Zbaren P, Egger C. Growth patterns of pyriform sinus carcinomas. Laryngoscope 1999; 107:511–519.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH

    Joseph Scharpf MD & Robert R. Lorenz MD

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  1. Joseph Scharpf MD
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  2. Robert R. Lorenz MD
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Editors and Affiliations

  1. Department of Hematology and Medical Oncology, Cleveland Clinic Foundation, Cleveland, OH

    David J. Adelstein MD

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© 2005 Humana Press Inc., Totowa, NJ

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Scharpf, J., Lorenz, R.R. (2005). Laryngeal Preservation Surgery. In: Adelstein, D.J. (eds) Squamous Cell Head and Neck Cancer. Current Clinical Oncology. Humana Press. https://doi.org/10.1007/978-1-59259-938-7_2

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  • DOI: https://doi.org/10.1007/978-1-59259-938-7_2

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-473-9

  • Online ISBN: 978-1-59259-938-7

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