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European Archives of Oto-Rhino-Laryngology

, Volume 264, Issue 5, pp 499–504 | Cite as

Proposal for revision of the European Laryngological Society classification of endoscopic cordectomies

  • Marc Remacle
  • Christophe Van Haverbeke
  • Hans Eckel
  • Patrick Bradley
  • Dominique Chevalier
  • Votko Djukic
  • Marco de Vicentiis
  • Gerhard Friedrich
  • Jan Olofsson
  • Giorgio Peretti
  • Miquel Quer
  • Jochen Werner
Laryngology

Abstract

A classification of laryngeal endoscopic cordectomies, which included eight different types, was first proposed by the European Laryngological Society in 2000. The purpose of this proposal of classification was an attempt to reach better consensus amongst clinicians and agree on uniformity in reporting the extent and depth of resection of cordectomy procedures, to allow relevant comparisons within the literature when presenting/publishing the results of surgery, and to recommend the use of guidelines to allow for reproducibility amongst practicing laryngologists. A total of 24 article citations of this classification have been found through the science citation index, as well as 3 book chapters on larynx cancer surgery, confirming its acceptance. However, on reflection, and with the passage of time, lesions originating at the anterior commissure have not been clearly described and, for that reason, a new endoscopic cordectomy (type VI) for cancers of the anterior commissure, which have extended or not to one or both of the vocal folds, without infiltration of the thyroid cartilage is now being proposed by the European Laryngological Society Committee on Nomenclature to revise and complete the initially reported classification.

Keywords

Endoscopic cordectomies classification European Laryngological Society Glottic cancer 

References

  1. 1.
    Altuna X, Zulueta A, Algaba J (2005) CO2 laser cordectomy as a day-case procedure. J Laryngol Otol 119(10):770–773PubMedCrossRefGoogle Scholar
  2. 2.
    Andrea M, Dias O (1995) Atlas of rigid and contact endoscopy in microlaryngeal surgery. Lippincott-Raven, PhiladelphiaGoogle Scholar
  3. 3.
    Ambrosch P (2005) Ch 6 Lasers for malignant lesions of the upper aerodigestive tract in Lasers on Otorhinolaryngology. In: Hüttenbrink KB (eds) Thieme, Stuttgart, pp 113–141Google Scholar
  4. 4.
    Beitler JJ, Johnson JT (2003) Transoral laser excision for early glottic cancer. Int J Radiat Oncol Biol Phys 56(4):1063–1066PubMedCrossRefGoogle Scholar
  5. 5.
    Crissman JD, Fu YS (1986) Intraepithelial neoplasia of the larynx A clinicopathologic study of six cases with DNA analysis. Arch Orolaryngol Head Neck Surg 112:522–528Google Scholar
  6. 6.
    Damm M, Sittel C, Streppel M, Eckel HE (2000) Transoral CO2 laser for surgical management of glottic carcinoma in situ. Laryngoscope 110(7):1215–1221PubMedCrossRefGoogle Scholar
  7. 7.
    Davis RK, Hadley K, Smith ME (2004) Endoscopic vertical partial laryngectomy. Laryngoscope 114(2):236–240PubMedCrossRefGoogle Scholar
  8. 8.
    Desloge RB, Zeitels SM (2000) Endolaryngeal microsurgery at the anterior glottal commissure: controversies and observations. Ann Otol Rhinol Laryngol 109(4):385–392PubMedGoogle Scholar
  9. 9.
    Eckel HE (2001) Local recurrences following transoral laser surgery for early glottic carcinoma: frequency, management and outcome. Ann Otol Rhinol Laryngol 110:7–15PubMedGoogle Scholar
  10. 10.
    Eckel HE, Thumfart WF (1992) Laser surgery for the treatment of larynx carcinomas: indications, techniques and preliminary results. Ann Otol Rhinol Laryngol 101(2Pt1):113–118PubMedGoogle Scholar
  11. 11.
    Eckel HE, Thumfart WF, Jungehülsing M, Sittel C, Stennert E (2000) Transoral laser surgery for early glottic carcinoma. Eur Arch Otorhinolaryngol 257:221–226PubMedCrossRefGoogle Scholar
  12. 12.
    Friedman I (1986) Nose, throat and ears. Churchill Livingstone, EdinburghGoogle Scholar
  13. 13.
    Gallo A, de Vincentiis M, Della Rocca C, Moi R, Simonelli M, Minni A, Shaha AR (2001) Evolution of precancerous laryngeal lesions: a clinicopathologic study with long-term follow-up on 259 patients. Head Neck 23(1):42–47CrossRefGoogle Scholar
  14. 14.
    Gallo A, de Vincentiis M, Manciocco V, Simonelli M, Fiorella ML, Shah JP (2002) CO2 laser cordectomy for early-stage glottic carcinoma: a long-term follow-up of 156 cases. Laryngoscope 112(2):370–374PubMedCrossRefGoogle Scholar
  15. 15.
    Guerrier B, Giovanni A, Remacle M, Chevalier D, Lacau St Guily J, Lefebvre JL, Marie JP, Reyt E, Wagner I, Woisard V (2004) Troisième partie, Pathologie tumorale des cordes vocals. ch III. Les cordectomies endoscopiques in Pathologie de corde vocale chez l’adulte. In: Guerrier B, Giovanni A, Remacle M (eds) Soc Francaise d’orl et Chirurgie cervico-faciale, Paris, pp 359–373Google Scholar
  16. 16.
    Kacker A, Wolden S, Pfister DG, Kraus DH (2003) Ch 15 cancer of the larynx in cancer of the head and neck. In: Myers EN, Suen JY, Myers JN, Hanna EYN (eds) 4th edn. Saunders, Philadelphia, pp 333–377Google Scholar
  17. 17.
    Kaiser TN, Sessions DG, Harvey JE (1989) Natural history of treated T1N0 squamous carcinoma of the glottis. Ann Otol Rhinol Laryngol 98(3):217–219PubMedGoogle Scholar
  18. 18.
    Kirschner JA (1984) Invasion of the framework by laryngeal cancer. Surgical and radiological implications. Acta Otolaryngol (Stockh) 97(5–6):392–397Google Scholar
  19. 19.
    Krengli M, Policarpo M, Manfredda I, Aluffi P, Gambaro G, Panella M, Pia F (2004) Voice quality after treatment for T1a glottic carcinoma–radiotherapy versus laser cordectomy. Acta Oncol 43(3):284–289PubMedCrossRefGoogle Scholar
  20. 20.
    Krespi YP, Meltzer CJ (1989) Laser surgery for vocal cord carcinoma involving the anterior commissure. Ann Otol Rhinol Laryngol 98(2):105–109PubMedGoogle Scholar
  21. 21.
    Laccourreye O, Muscatello L, Laccourreye L, Naudo P, Brasnu D, Weinstein G (1997) Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for “early” glottic carcinoma classified as T1-T2N0 invading the anterior commissure. Am J Otolaryngol 18(6):385–390PubMedCrossRefGoogle Scholar
  22. 22.
    Lawson G, Jamart J, Remacle M (2001) Improving the functional outcome of Tucker’s reconstructive laryngectomy. Head Neck 23(10):871–878PubMedCrossRefGoogle Scholar
  23. 23.
    Mahieu HF, Patel P, Annyas AA, van der Laan T (1994) carbon dioxide laser vaporization in early glottic carcinoma. Arch Otolaryngol Head Neck Surg 120(4):383–387PubMedGoogle Scholar
  24. 24.
    Maurizi M, Almadori G, Plaudetti G, De Corso E, Galli J (2005) Laser carbon dioxide cordectomy versus open surgery in the treatment of glottic carcinoma: our results. Otolaryngol Head Neck Surg 132(6):857–861PubMedCrossRefGoogle Scholar
  25. 25.
    McWhorter AJ, Hoffman HT (2005) Transoral laser microsurgery for laryngeal malignancies. Curr Probl Cancer 29(4):180–189PubMedCrossRefGoogle Scholar
  26. 26.
    Pearson BW, Salassa JR (2003) Transoral laser microresection for cancer of the larynx involving the anterior commissure. Laryngoscope 113(7):1104–1112PubMedCrossRefGoogle Scholar
  27. 27.
    Peeters AJ, van Gogh CD, Goor KM, Verdonck-de Leeuw IM, Langendijk JA, Mahieu HF (2004) Health status and voice outcome after treatment for T1a glottic carcinoma. Eur Arch Otorhinolaryngol 261(10):534–540PubMedCrossRefGoogle Scholar
  28. 28.
    Peretti G, Nicolai P, Piazza C, Redaelli de Zinis LO, Valentini S, Antonelli AR (2001) Oncological results of endoscopic resections of Tis and T1 glottic carcinomas by carbon dioxide laser. Ann Otol Rhinol Laryngol 110(9):820–826PubMedGoogle Scholar
  29. 29.
    Peretti G, Piazza C, Balzanelli C, Cantarella G, Nicolai P (2003) Vocal outcome after endoscopic cordectomies for Tis and T1 glottic carcinomas. Ann Otol Rhinol Laryngol 112(2):174–179PubMedGoogle Scholar
  30. 30.
    Peretti G, Piazza C, Berlucchi M, Cappiello J, Giudice M, Nicolai P (2003) Pre- and intraoperative assessment of mid-cord erythroleukoplakias: a prospective study on 52 patients. Eur Arch Otorhinolaryngol 260(10):525–528PubMedCrossRefGoogle Scholar
  31. 31.
    Peretti G, Piazza C, Balzanelli C, Mensi MC, Rossini M, Antonelli AR (2003) Preoperative and postoperative voice in Tis-T1 glottic cancer treated by endoscopic cordectomy: an additional issue for patient counseling. Ann Otol Rhinol Laryngol 112(9Pt1):759–763PubMedGoogle Scholar
  32. 32.
    Peretti G, Piazza C, Bolzoni A, Mensi MC, Rossini M, Parrinello G, Shapshay SM, Antonelli AR (2004) Analysis of recurrences in 322 Tis, T1, or T2 glottic carcinomas treated by carbon dioxide laser. Ann Otol Rhinol Laryngol 113(11):853–858PubMedGoogle Scholar
  33. 33.
    Peretti G, Piazza C, Mensi MC, Magnoni L, Bolzoni A (2005) Endoscopic treatment of cT2 glottic carcinoma: prognostic impact of different pT subcategories. Ann Otol Rhinol Laryngol 114(8):579–586PubMedGoogle Scholar
  34. 34.
    Puxeddu R, Piazza C, Mensi MC, Ledda GP, Argiolas F, Peretti G (2004) Carbon dioxide laser salvage surgery after radiotherapy failure in T1 and T2 glottic carcinoma. Otolaryngol Head Neck Surg 130(1):84–88PubMedCrossRefGoogle Scholar
  35. 35.
    Remacle M, Eckel HE, Antonelli A, Brasnu D, Chevalier D, Friedrich G, Olofsson J, Rudert HH, Thumfart W, de Vincentiis M, Wustrow TP (2000) Endoscopic cordectomy. A proposal for a classification by the Working Committee, European Laryngological Society. Eur Arch Otorhinolaryngol 257(4):227–231PubMedCrossRefGoogle Scholar
  36. 36.
    Remacle M, Lawson G, Hedayat A, Trussart T, Jamart J (2001) Medialization framework surgery for voice improvement after endoscopic cordectomy. Eur Arch Otorhinolaryngol 258(6):267–271CrossRefGoogle Scholar
  37. 37.
    Remacle M, Friedrich G, Dikkers FG, de Jong F (2003) Phonosurgery of the vocal folds: a classification proposal. Eur Arch Otorhinolaryngol 260(1):1–6PubMedGoogle Scholar
  38. 38.
    Remacle M, Hassan F, Cohen D, Lawson G, Delos M (2005) New computer-guided scanner for improving CO2 laser-assisted microincision. Eur Arch Otorhinolaryngol 262(2):113–119PubMedCrossRefGoogle Scholar
  39. 39.
    Roh JL, Yoon YH (2005) Prevention of anterior glottic stenosis after bilateral vocal fold stripping with mitomycin C. Arch Otolaryngol Head Neck Surg 131(8):690–695PubMedCrossRefGoogle Scholar
  40. 40.
    Rudert HH, Werner JA (1995) Endoscopic resections of glottic and supraglottic carcinomas with the CO2 laser. Eur Arch Otorhinolaryngol 252(3):146–148PubMedCrossRefGoogle Scholar
  41. 41.
    Rucci L, Romagnoli P, Casucci A, Ferlito A (2004) Embryological study of the glottic site and clinical implications. Oral Oncol 40(10):1017–1025PubMedCrossRefGoogle Scholar
  42. 42.
    Schindler A, Palonta F, Preti G, Ottaviani F, Schindler O, Cavalot AL (2004) Voice quality after carbon dioxide laser and conventional surgery for T1A glottic carcinoma. J Voice 18(4):545–550PubMedCrossRefGoogle Scholar
  43. 43.
    Shapshay SM, Wang Z, Rebeiz EE, Perrault DF Jr, Pankratov MM (1994) Window” laryngoplasty: a new combined laser endoscopic and open technique for conservation surgery. Ann Otol Rhinol Laryngol 103(9):679–685PubMedGoogle Scholar
  44. 44.
    Sittel C, Eckel HE (1998) Eschenburg: phonatory results following laser surgery for glottic carcinoma. Otolaryngol Head Neck Surg 119:418–424PubMedCrossRefGoogle Scholar
  45. 45.
    Sittel C, Friedrich G, Zorowka P, Eckel HE (2002) Surgical voice rehabilitation after laser surgery for glottic carcinoma. Ann Otol Rhinol Laryngol 111:493–499PubMedGoogle Scholar
  46. 46.
    Sprinzl GM, Eckel HE, Sittel C, Potoschnig C, Koebke J (1999) Morphometric measurements of the cartilaginous larynx: an anatomic correlate of laryngeal surgery. Head Neck 21:743–750PubMedCrossRefGoogle Scholar
  47. 47.
    Steiner W (1993) Results of curative laser microsurgery of laryngeal carcinomas. Am J Otolaryngol 14(2):116–121PubMedCrossRefGoogle Scholar
  48. 48.
    Steiner W, Ambrosch P, Rodel RM, Kron M (2004) Impact of anterior commissure involvement on local control of early glottic carcinoma treated by laser microresection. Laryngoscope 114(8):1485–1491PubMedCrossRefGoogle Scholar
  49. 49.
    Su CY, Chuang HC, Tsai SS, Chiu JF (2005) Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients. Laryngoscope 115(3):528–533PubMedCrossRefGoogle Scholar
  50. 50.
    Tamura E, Kitahara S, Ogura M, Kohno N (2003) Voice quality after laser surgery or radiotherapy for T1a glottic carcinoma. Laryngoscope 113(5):910–914PubMedCrossRefGoogle Scholar
  51. 51.
    Wedman J, Heimdal JH, Elstad I, Olofsson J (2002) Voice results in patients with T1aglottic cancer treated by radiotherapy or endoscopic measures. Eur Arch Otorhinolaryngol 259(10):547–550PubMedGoogle Scholar
  52. 52.
    Zeitels SM (1998) Infrapetiole exploration of the supraglottis for exposure of the anterior glottal commissure. J Voice 12(1):117–122PubMedCrossRefGoogle Scholar
  53. 53.
    Zeitels SM, Dailey SH, Burns JA (2004) Technique of en block laser endoscopic frontolateral laryngectomy for glottic cancer. Laryngoscope 114(1):175–180PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Marc Remacle
    • 1
  • Christophe Van Haverbeke
    • 1
  • Hans Eckel
    • 2
  • Patrick Bradley
    • 3
  • Dominique Chevalier
    • 4
  • Votko Djukic
    • 5
  • Marco de Vicentiis
    • 6
  • Gerhard Friedrich
    • 7
  • Jan Olofsson
    • 8
  • Giorgio Peretti
    • 9
  • Miquel Quer
    • 10
  • Jochen Werner
    • 11
  1. 1.Department of Oto–rhino–laryngology and Head & Neck SurgeryUniversity Hospital of Louvain at Mont-GodinneYvoirBelgium
  2. 2.Department of Oto–rhino–laryngology and Head & Neck SurgeryRegional HospitalKlagenfurtAustria
  3. 3.Department of Oto–rhino–laryngology and Head & Neck SurgeryQueens Medical CentreNottinghamUK
  4. 4.Department of Oto–rhino–laryngology and Head & Neck Surgery, Hospital Claude HuriezUniversity of LilleLilleFrance
  5. 5.Department of Oto–rhino–laryngology and Head & Neck Surgery Medical CenterUniversity of BelgradeBelgradeYugoslavia
  6. 6.Hospital La SapienzaUniversity of RomeRomeItaly
  7. 7.Department of Oto–rhino–laryngology and Head & Neck SurgeryUniversity Hospital of GrazGrazAustria
  8. 8.Department of Oto–rhino–laryngology and Head & Neck SurgeryUniversity Hospital of BresciaBresciaItaly
  9. 9.Department of Oto–rhino–laryngology and Head & Neck SurgeryUniversity Hospital of BergenBergenNorway
  10. 10.Department of Oto–rhino–laryngology and Head & Neck SurgeryHospital Sant PauBarcelonaSpain
  11. 11.Department of Oto–rhino–laryngology and Head & Neck SurgeryUniversity Hospital of MarburgMarburgGermany

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