Vertical Partial Laryngectomy

  • A vertical partial laryngectomy is indicated for primary tumors of the vocal cords:
    • That extend to involve the:
      • Supraglottic larynx
      • The anterior commissure
      • Or that have significant subglottic extension
      • Patients with reduced mobility of the involved vocal cord
      • Those who have failed to respond to previous radiation therapy for a locally advanced lesion that still remains confined to one side of the larynx
      • Select patients with fixed vocal cord lesions
  • Criteria for the selection of a lesion suitable for a vertical partial laryngectomy:
    • Lesion of mobile vocal cord extending to anterior commissure
    • Lesion of mobile vocal cord involving vocal process and antero-superior portion of arytenoid
    • Subglottic extension should not be more than 5 mm
    • Select patients with fixed vocal cord lesion not extending across the midline
    • A unilateral transglottic lesion not violating the above criteria
    • True vocal cord / anterior commissure lesion not involving more than anterior third of opposite cord

#Arrangoiz #CancerSurgeon #HeadandNeckSurgeon #HeadandNeckCancer #ThyroidSurgeon #CASO #CenterforAdvancedSurgicalOncology #PalmettoGeneralHospital

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