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
Altuna X, Zulueta A, Algaba J (2005) CO2 laser cordectomy as a day-case procedure. J Laryngol Otol 119(10):770–773
Andrea M, Dias O (1995) Atlas of rigid and contact endoscopy in microlaryngeal surgery. Lippincott-Raven, Philadelphia
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
Beitler JJ, Johnson JT (2003) Transoral laser excision for early glottic cancer. Int J Radiat Oncol Biol Phys 56(4):1063–1066
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
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
Davis RK, Hadley K, Smith ME (2004) Endoscopic vertical partial laryngectomy. Laryngoscope 114(2):236–240
Desloge RB, Zeitels SM (2000) Endolaryngeal microsurgery at the anterior glottal commissure: controversies and observations. Ann Otol Rhinol Laryngol 109(4):385–392
Eckel HE (2001) Local recurrences following transoral laser surgery for early glottic carcinoma: frequency, management and outcome. Ann Otol Rhinol Laryngol 110:7–15
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
Eckel HE, Thumfart WF, Jungehülsing M, Sittel C, Stennert E (2000) Transoral laser surgery for early glottic carcinoma. Eur Arch Otorhinolaryngol 257:221–226
Friedman I (1986) Nose, throat and ears. Churchill Livingstone, Edinburgh
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
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
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
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
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
Kirschner JA (1984) Invasion of the framework by laryngeal cancer. Surgical and radiological implications. Acta Otolaryngol (Stockh) 97(5–6):392–397
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
Krespi YP, Meltzer CJ (1989) Laser surgery for vocal cord carcinoma involving the anterior commissure. Ann Otol Rhinol Laryngol 98(2):105–109
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
Lawson G, Jamart J, Remacle M (2001) Improving the functional outcome of Tucker’s reconstructive laryngectomy. Head Neck 23(10):871–878
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
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
McWhorter AJ, Hoffman HT (2005) Transoral laser microsurgery for laryngeal malignancies. Curr Probl Cancer 29(4):180–189
Pearson BW, Salassa JR (2003) Transoral laser microresection for cancer of the larynx involving the anterior commissure. Laryngoscope 113(7):1104–1112
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
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
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
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
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
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
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
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
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
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
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
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
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
Rudert HH, Werner JA (1995) Endoscopic resections of glottic and supraglottic carcinomas with the CO2 laser. Eur Arch Otorhinolaryngol 252(3):146–148
Rucci L, Romagnoli P, Casucci A, Ferlito A (2004) Embryological study of the glottic site and clinical implications. Oral Oncol 40(10):1017–1025
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
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
Sittel C, Eckel HE (1998) Eschenburg: phonatory results following laser surgery for glottic carcinoma. Otolaryngol Head Neck Surg 119:418–424
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
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
Steiner W (1993) Results of curative laser microsurgery of laryngeal carcinomas. Am J Otolaryngol 14(2):116–121
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
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
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
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
Zeitels SM (1998) Infrapetiole exploration of the supraglottis for exposure of the anterior glottal commissure. J Voice 12(1):117–122
Zeitels SM, Dailey SH, Burns JA (2004) Technique of en block laser endoscopic frontolateral laryngectomy for glottic cancer. Laryngoscope 114(1):175–180
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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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DOI: https://doi.org/10.1007/s00405-007-0279-z