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Imaging Considerations for Laryngeal Cancer Surgery

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Head and Neck Imaging

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Abstract

Assessment in laryngeal cancer involves a multi-disciplinary team approach requiring clinico-radiological correlation. Clinical endoscopic assessment remains the gold standard approach for early mucosal disease with radiological assessment largely reserved for stage 2 disease and above. Utilisation of an appropriate imaging modality warrants an understanding of their benefits and potential pitfalls, particularly pertaining to CT, MRI and functional imaging. This must also be correlated with the patient’s history, the most suitable modality chosen based on the clinical question (staging, response evaluation or recurrence).

This chapter provides a detailed review of the clinically relevant laryngeal anatomy and the role of imaging in differentiating normal radiological appearances from disease, including the challenges of assessing laryngeal cartilage invasion, nodal disease and distant metastases. In addition, the surgical management of laryngeal cancer is explored, highlighting current best practice and recent technological advances. The importance of the multi-disciplinary team is also emphasised in reference to its role in staging, decision to treat and subsequent disease monitoring.

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Author information

Authors and Affiliations

  1. ENT - Head and Neck Surgery, London North West University Healthcare NHS Trust, London, UK

    Taranjit Singh Tatla

  2. Radiology, West Hertfordshire Hospitals NHS Trust, Hertfordshire, UK

    Raekha Kumar

  3. Clinique Les Fontaines, Melun, France

    Francesca Fiorini

  4. Radiology, St George’s Hospital NHS Trust, London, UK

    Alex Weller

Authors
  1. Taranjit Singh Tatla
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  2. Raekha Kumar
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  3. Francesca Fiorini
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  4. Alex Weller
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Corresponding author

Correspondence to Taranjit Singh Tatla .

Editor information

Editors and Affiliations

  1. ENT - Head and Neck Surgery, London North West University Healthcare NHS Trust, London, UK

    Taranjit Singh Tatla

  2. ENT, Royal National ENT Hospital and University College London Hospitals, London, UK

    Joseph Manjaly

  3. Radiology, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK

    Raekha Kumar

  4. Radiology, St George’s Hospital NHS Trust, London, UK

    Alex Weller

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Tatla, T.S., Kumar, R., Fiorini, F., Weller, A. (2021). Imaging Considerations for Laryngeal Cancer Surgery. In: Tatla, T.S., Manjaly, J., Kumar, R., Weller, A. (eds) Head and Neck Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-80897-6_19

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  • DOI: https://doi.org/10.1007/978-3-030-80897-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80895-2

  • Online ISBN: 978-3-030-80897-6

  • eBook Packages: MedicineMedicine (R0)

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