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Supraglottic horizontal partial laryngectomy for Supraglottic cancer invading the base of the tongue

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Abstract

The technique of horizontal partial laryngectomy can be extended for removal of Supraglottolingual cancers with preservation of the functions of phonation, respiration and swallowing. Use of the outer perichondrium, elevated from the resected part of the thyroid cartilage, helps in better healing of the thyrolingual repair and probably prevents fistula formation. Serial histology has shown the adequacy of the line of excision in the technique used in these cases. Cervical block dissection in these cases can be deferred till such time when a metastatic node appears on regular follow up, because of the immunological viewpoints held currently regarding cancer. It is therefore recommended that conservation surgery can be adopted in the supraglottolingual variety of cancers and a satisfactory end result can be expected with conservation of laryngeal function.

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Deka, R.C., Ghosh, P. & Kacker, S.K. Supraglottic horizontal partial laryngectomy for Supraglottic cancer invading the base of the tongue. Indian J Otolaryngol 29, 58–61 (1977). https://doi.org/10.1007/BF02991255

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