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

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An Erratum to this article was published on 13 April 2007

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.

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References

  1. Altuna X, Zulueta A, Algaba J (2005) CO2 laser cordectomy as a day-case procedure. J Laryngol Otol 119(10):770–773

    Article  PubMed  CAS  Google Scholar 

  2. Andrea M, Dias O (1995) Atlas of rigid and contact endoscopy in microlaryngeal surgery. Lippincott-Raven, Philadelphia

    Google Scholar 

  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 113–141

  4. Beitler JJ, Johnson JT (2003) Transoral laser excision for early glottic cancer. Int J Radiat Oncol Biol Phys 56(4):1063–1066

    Article  PubMed  Google Scholar 

  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 112:522–528

    CAS  Google Scholar 

  6. Damm M, Sittel C, Streppel M, Eckel HE (2000) Transoral CO2 laser for surgical management of glottic carcinoma in situ. Laryngoscope 110(7):1215–1221

    Article  PubMed  CAS  Google Scholar 

  7. Davis RK, Hadley K, Smith ME (2004) Endoscopic vertical partial laryngectomy. Laryngoscope 114(2):236–240

    Article  PubMed  Google Scholar 

  8. Desloge RB, Zeitels SM (2000) Endolaryngeal microsurgery at the anterior glottal commissure: controversies and observations. Ann Otol Rhinol Laryngol 109(4):385–392

    PubMed  CAS  Google Scholar 

  9. Eckel HE (2001) Local recurrences following transoral laser surgery for early glottic carcinoma: frequency, management and outcome. Ann Otol Rhinol Laryngol 110:7–15

    PubMed  CAS  Google Scholar 

  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):113–118

    PubMed  CAS  Google Scholar 

  11. Eckel HE, Thumfart WF, Jungehülsing M, Sittel C, Stennert E (2000) Transoral laser surgery for early glottic carcinoma. Eur Arch Otorhinolaryngol 257:221–226

    Article  PubMed  CAS  Google Scholar 

  12. Friedman I (1986) Nose, throat and ears. Churchill Livingstone, Edinburgh

    Google Scholar 

  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):42–47

    Article  CAS  Google Scholar 

  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):370–374

    Article  PubMed  Google Scholar 

  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 359–373

  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 333–377

  17. Kaiser TN, Sessions DG, Harvey JE (1989) Natural history of treated T1N0 squamous carcinoma of the glottis. Ann Otol Rhinol Laryngol 98(3):217–219

    PubMed  CAS  Google Scholar 

  18. Kirschner JA (1984) Invasion of the framework by laryngeal cancer. Surgical and radiological implications. Acta Otolaryngol (Stockh) 97(5–6):392–397

    Google Scholar 

  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):284–289

    Article  PubMed  Google Scholar 

  20. Krespi YP, Meltzer CJ (1989) Laser surgery for vocal cord carcinoma involving the anterior commissure. Ann Otol Rhinol Laryngol 98(2):105–109

    PubMed  CAS  Google Scholar 

  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):385–390

    Article  PubMed  CAS  Google Scholar 

  22. Lawson G, Jamart J, Remacle M (2001) Improving the functional outcome of Tucker’s reconstructive laryngectomy. Head Neck 23(10):871–878

    Article  PubMed  CAS  Google Scholar 

  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):383–387

    PubMed  CAS  Google Scholar 

  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):857–861

    Article  PubMed  Google Scholar 

  25. McWhorter AJ, Hoffman HT (2005) Transoral laser microsurgery for laryngeal malignancies. Curr Probl Cancer 29(4):180–189

    Article  PubMed  Google Scholar 

  26. Pearson BW, Salassa JR (2003) Transoral laser microresection for cancer of the larynx involving the anterior commissure. Laryngoscope 113(7):1104–1112

    Article  PubMed  Google Scholar 

  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):534–540

    Article  PubMed  Google Scholar 

  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):820–826

    PubMed  CAS  Google Scholar 

  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):174–179

    PubMed  Google Scholar 

  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):525–528

    Article  PubMed  Google Scholar 

  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):759–763

    PubMed  Google Scholar 

  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):853–858

    PubMed  Google Scholar 

  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):579–586

    PubMed  Google Scholar 

  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):84–88

    Article  PubMed  Google Scholar 

  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):227–231

    Article  PubMed  CAS  Google Scholar 

  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):267–271

    Article  Google Scholar 

  37. Remacle M, Friedrich G, Dikkers FG, de Jong F (2003) Phonosurgery of the vocal folds: a classification proposal. Eur Arch Otorhinolaryngol 260(1):1–6

    PubMed  CAS  Google Scholar 

  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):113–119

    Article  PubMed  Google Scholar 

  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):690–695

    Article  PubMed  Google Scholar 

  40. Rudert HH, Werner JA (1995) Endoscopic resections of glottic and supraglottic carcinomas with the CO2 laser. Eur Arch Otorhinolaryngol 252(3):146–148

    Article  PubMed  CAS  Google Scholar 

  41. Rucci L, Romagnoli P, Casucci A, Ferlito A (2004) Embryological study of the glottic site and clinical implications. Oral Oncol 40(10):1017–1025

    Article  PubMed  Google Scholar 

  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):545–550

    Article  PubMed  Google Scholar 

  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):679–685

    PubMed  CAS  Google Scholar 

  44. Sittel C, Eckel HE (1998) Eschenburg: phonatory results following laser surgery for glottic carcinoma. Otolaryngol Head Neck Surg 119:418–424

    Article  PubMed  CAS  Google Scholar 

  45. Sittel C, Friedrich G, Zorowka P, Eckel HE (2002) Surgical voice rehabilitation after laser surgery for glottic carcinoma. Ann Otol Rhinol Laryngol 111:493–499

    PubMed  Google Scholar 

  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 21:743–750

    Article  PubMed  CAS  Google Scholar 

  47. Steiner W (1993) Results of curative laser microsurgery of laryngeal carcinomas. Am J Otolaryngol 14(2):116–121

    Article  PubMed  CAS  Google Scholar 

  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):1485–1491

    Article  PubMed  Google Scholar 

  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):528–533

    Article  PubMed  Google Scholar 

  50. Tamura E, Kitahara S, Ogura M, Kohno N (2003) Voice quality after laser surgery or radiotherapy for T1a glottic carcinoma. Laryngoscope 113(5):910–914

    Article  PubMed  Google Scholar 

  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):547–550

    PubMed  CAS  Google Scholar 

  52. Zeitels SM (1998) Infrapetiole exploration of the supraglottis for exposure of the anterior glottal commissure. J Voice 12(1):117–122

    Article  PubMed  CAS  Google Scholar 

  53. Zeitels SM, Dailey SH, Burns JA (2004) Technique of en block laser endoscopic frontolateral laryngectomy for glottic cancer. Laryngoscope 114(1):175–180

    Article  PubMed  Google Scholar 

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Correspondence to Marc Remacle.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s00405-007-0304-2

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Remacle, M., Van Haverbeke, C., Eckel, H. et al. Proposal for revision of the European Laryngological Society classification of endoscopic cordectomies. Eur Arch Otorhinolaryngol 264, 499–504 (2007). https://doi.org/10.1007/s00405-007-0279-z

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