Completion Total Laryngectomy Ten Years After Near Total Laryngectomy for Radiorecurrent Cancer of the Glottis
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Near total laryngectomy (NTL) is a safe alternative to total laryngectomy in salvaging lateralized radiation failures. A 65-year-old gentleman with radiorecurrent T1 vocal cord cancer was salvaged successfully by NTL. Ten years later, he presented with a strained shunt speech which was treated judiciously, with the aid of a positron emission tomography (PET) scan, by a (completion) total laryngectomy (TL), bilateral selective neck dissection, and pharyngeal resurfacing with pectoralis major myocutaneous (PMMC) flap. The patient is on close follow-up after the second salvage procedure, for 20 months without any locoregional disease recurrence. A high index of suspicion can clinch the diagnosis of a post-NTL recurrence in a disease-free patient on follow-up because of the excellent speech preservation and aspiration-free swallowing that is possible which can only be altered if the patient develops a recurrence or second primary.
KeywordsSalvage surgery Near total laryngectomy Total laryngectomy with pharyngeal resurfacing
1st author (Additional Professor) performed the surgeries and prepared the manuscript.
2nd author (Clinical Fellow) compiled the data performed the literature search and assisted in the preparation of the manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
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