Vestibulectomy prior cordectomy in tomes: Advantages and dysplasia findings.

IF 2.4 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-18 DOI:10.1016/j.anorl.2025.06.007

N Oishi, C Rodríguez-Prado, R Reboll, J R Alba, E Zapater

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引用次数: 0

Abstract

Introduction: Vestibulectomy prior to Transoral microelectrodes surgery (TOMES) cordectomies improves the tumor exposure, enables precise oncological surgery ensuring minimal invasiveness. The finding of dysplasia in non-oncologic ventricular fold (VF) resections led us to analyze the histopathological results in all the samples.

Material and methods: We present a retrospective study analyzing 64 T1/T2 glottic carcinoma patients treated with TOMES cordectomy and uni/bilateral vestibulectomy. The bleeding rate and presence of dysplasia were evaluated. The procedure using microelectrodes is explained in the video (supplementary material).

Results: Among 64 patients (97% male, mean age 65), 83 non-oncological VF resection were analyzed. Vestibulectomy does not increase the risk of hemorrhage in our series. Total of 37% of dysplasia was found, low-grade dysplasia in 19% and high-grade dysplasia in 18% (high-grade in 6% and carcinoma in situ in 12%).

Conclusion: The vestibulectomy in TOMES cordectomy enhances surgical exposure without increasing bleeding risk or surgery. Dysplastic lesions of the ventricular bands seem to occur quite frequently even when the assessment is normal.

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前庭切除术优先于脑皮质切除术：优势和发育不良的结果。

简介：经口微电极手术（TOMES）切除前的前庭切除术改善了肿瘤暴露，使精确的肿瘤手术确保最小的侵入性。在非肿瘤性心室褶皱（VF）切除中发现异常增生，使我们分析了所有样本的组织病理学结果。材料和方法：我们对64例T1/T2声门癌患者进行回顾性研究，分析了经TOMES corectomy和单侧/双侧前庭切除术治疗的病例。评估出血率和不典型增生的存在。视频（补充材料）中解释了使用微电极的程序。结果：在64例患者中（97%为男性，平均年龄65岁），分析了83例非肿瘤性VF切除术。在我们的研究中，前庭切除术不会增加出血的风险。总共有37%的不典型增生被发现，低级别不典型增生占19%，高级别不典型增生占18%（高级别不典型增生占6%，原位癌占12%）。结论：前庭切除术在不增加出血风险的情况下增加手术暴露。即使在评估正常的情况下，心室束发育不良的病变似乎也经常发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.