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Open partial horizontal laryngectomies: a proposal for classification by the working committee on nomenclature of the European Laryngological Society

  • Laryngology
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A Letter to the Editor to this article was published on 08 August 2014

Abstract

We present herein the proposal of the European Laryngological Society working committee on nomenclature for a systematic classification of open partial horizontal laryngectomies (OPHL). This is based on the cranio-caudal extent of laryngeal structures resected, instead of a number of different and heterogeneous variables present in existing nomenclatures, usually referring to eponyms, types of pexy, or inferior limit of resection. According to the proposed classification system, we have defined three types of OPHLs: Type I (formerly defined horizontal supraglottic laryngectomy), Type II (previously called supracricoid laryngectomy), and Type III (also named supratracheal laryngectomy). Use of suffixes “a” and “b” in Type II and III OPHLs reflects sparing or not of the suprahyoid epiglottis. Various extensions to one arytenoid, base of tongue, piriform sinus, and crico-arytenoid unit are indicated by abbreviations (ARY, BOT, PIR, and CAU, respectively). Our proposal is not intended to give a comprehensive algorithm of application of different OPHLs to specific clinical situations, but to serve as the basis for obtaining a common language among the head and neck surgical community. We therefore intend to present this classification system as a simple and intuitive teaching instrument, and a tool to be able to compare surgical series with each other and with non-surgical data.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Ospedale San Luigi-Martini, University of Turin, Turin, Italy

    G. Succo & E. Crosetti

  2. Department of Otorhinolaryngology, Ospedale San Martino, University of Genoa, Genoa, Italy

    G. Peretti

  3. Department of Otorhinolaryngology-Head and Neck Surgery, University of Brescia, Spedali Civili of Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy

    C. Piazza & A. R. Antonelli

  4. Department of Otorhinolaryngology, University Hospital of Louvain at Mont-Godinne, Yvoir, Belgium

    M. Remacle

  5. Department of Otorhinolaryngology, Klagenfurt General Hospital, Klagenfurt, Austria

    H. E. Eckel

  6. Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Lille, Lille, France

    D. Chevalier

  7. Department of Otorhinolaryngology, Guy’s and St Thomas’ Hospital, London, UK

    R. Simo

  8. 1st Department of Otorhinolaryngology-Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General Hospital, Athens, Greece

    A. G. Hantzakos

  9. Department of Otorhinolaryngology, Ospedale Civile of Vittorio Veneto, Vittorio Veneto, Italy

    G. Rizzotto & M. Lucioni

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  1. G. Succo
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  2. G. Peretti
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  3. C. Piazza
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  4. M. Remacle
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  5. H. E. Eckel
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  6. D. Chevalier
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  7. R. Simo
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  8. A. G. Hantzakos
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  9. G. Rizzotto
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  10. M. Lucioni
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  11. E. Crosetti
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  12. A. R. Antonelli
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Corresponding author

Correspondence to C. Piazza.

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Succo, G., Peretti, G., Piazza, C. et al. Open partial horizontal laryngectomies: a proposal for classification by the working committee on nomenclature of the European Laryngological Society. Eur Arch Otorhinolaryngol 271, 2489–2496 (2014). https://doi.org/10.1007/s00405-014-3024-4

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  • DOI: https://doi.org/10.1007/s00405-014-3024-4

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