{"title":"The Role of Radiotherapy in the Management of Paraganglioma","authors":"M. Trombetta","doi":"10.5005/JP-JOURNALS-10003-1051","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1051","url":null,"abstract":"Paragangliomas or glomus tumors are usually low-grade hypervascular tumors occurring in various sites of the autonomic nervoussystem including the carotid body, glomus vagale and glomus tympanicum. Although the grading of the tumor suggests a benign clinicalcourse, the tumor can be locally malignant and surgical management is sometimes difficult because of postoperative functional loss andlocal recurrence. In addition, the operative field is generally very bloody and tissue planes are not always well-defined.Though the optimal management of paraganglioma occurs in a multidisciplinary setting, considering the excellent local control rateswith primary irradiation alone, a nonsurgical definitive approach should initially be considered.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129810299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gamma Knife Radiosurgery forVestibular Schwannomas","authors":"R. Liščák","doi":"10.5005/JP-JOURNALS-10003-1054","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1054","url":null,"abstract":"The current gamma knife radiosurgery technique involves the use of magnetic resonance imaging for targeting, the application of a lowmarginal dose (usually between 12 and 13 Gy) and highly conformal treatment planning using multiple small isocenters. This techniqueachieves an average tumor control rate of 95% and open surgery is needed in fewer than 2 to 3% of patients treated by gamma knife.Facial nerve function preservation is achieved in up to 99% of cases and chance of preserving serviceable hearing is usually between a70 to 80%. The introduction of ventriculoperitoneal drainage after radiosurgery is required for 1 to 8% of patients. Gamma knife radiosurgerycan be treatment of choice for the patients, where the diameter of the tumor is less than 3 cm.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123774248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation after Total Laryngectomy","authors":"A. Hakeem, I. Hakeem, A. Garg","doi":"10.5005/JP-JOURNALS-10003-1040","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1040","url":null,"abstract":"Comprehensive rehabilitation after total laryngectomy is more than just restoration of the voice alone. Due to central position in the upper aerodigestive tract, its removal requires rehabilitation of all three 'systems' depending on respiratory airflow, i.e. Voice, Pulmonary and Olfactory functions. Rehabilitation of speech takes preference, but pulmonary and olfactory rehabilitation require multidisciplinary team effort in order to achieve optimal results and good quality of life.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128045628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Voice Rehabilitation after Laryngectomy","authors":"A. Erman, D. Deschler","doi":"10.5005/JP-JOURNALS-10003-1041","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1041","url":null,"abstract":"Improvements in voice rehabilitation over the past century have paralleled the surgical success of laryngectomy. The establishment of thetracheoesophageal puncture marked a turning point in the development of successful and dependable voice rehabilitation. Surgical optionsinclude both primary and secondary placement of a tracheoesophageal puncture. Though complications, such as pharyngoesophagealspasm or prosthesis leakage may occur, patients should expect functional voice restoration after laryngectomy.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115104226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Mehta, A. Hakeem, Jagadish Tubachi, R. Kannan, S. Pradhan
{"title":"CO2Laser Surgery for Early Laryngeal and Hypopharyngeal Cancer","authors":"M. Mehta, A. Hakeem, Jagadish Tubachi, R. Kannan, S. Pradhan","doi":"10.5005/JP-JOURNALS-10003-1043","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1043","url":null,"abstract":"Recent years have seen paradigm shift in the treatment of early laryngeal tumors towards microscopic CO2 laser resection because ofexcellent oncologic and functional results. The coupling of the carbon dioxide (CO2) laser to the operating microscope has greatly simplified,even revolutionized, microlaryngoscopic surgery. Focus is now not just on oncological outcome but also on preservation of vocal function.This results in a continuous conflict between the need to remove tissue for oncological stability and the need to preserve tissue for optimalvocal function.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123312026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Premalignant Lesions of the Larynx and their Management","authors":"A. Hakeem, I. Hakeem, S. Pradhan","doi":"10.5005/JP-JOURNALS-10003-1031","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1031","url":null,"abstract":"The classification and the most appropriate treatment of the precancerous lesions of the larynx continue to be controversial. It is an established fact that the dysplastic lesions of the larynx have the potential to evolve into malignant lesion. It is also well-known that the capacity of this transformation significantly correlates to the grade of dysplasia of the epithelium. The diagnosis, treatment, and prognosis of these lesions depend almost entirely on their histological abnormalities.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122588133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photodynamic Therapy for Laryngeal Cancers","authors":"N. Rigual, M. Biel, K. Thankappan, B. Henderson","doi":"10.5005/JP-JOURNALS-10003-1036","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1036","url":null,"abstract":"Laryngeal squamous cell carcinoma is a common cancer among men globally. Currently effective treatment modalities for early stagelaryngeal cancer can associated with significant long-term morbidities. Photodynamic (PDT), a minimally invasive treatment that uses lightof a specific wavelength to activate a photosensitizing agent in the tumor and its microenvironment, offers a viable alternative treatment forthis patient population without permanent treatment related sequelae.Our focus in this review is to discuss the existing evidence for the utilization PDT in treating laryngeal cancers and to summarize theadvantages and limitations of this novel therapy.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126764191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical and Imaging Assessment, Staging andDecision Making in Laryngeal Cancers","authors":"Rakesh Badhe","doi":"10.5005/JP-JOURNALS-10003-1033","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1033","url":null,"abstract":"Cancer of the larynx has numerous implications�respiration, swallowing and speech, besides disability, vocational, recreational, etc. Thereare numerous treatment options which have been proven to be effective with randomized controlled trials and meta-analysis'. Often, thechoice of modality offered to the patient is tailored to the patient's requirements as regard to his/her domestic, vocational and recreationalenvironment. Although we may have a plethora of options for patients belonging to each stage of the disease, there are certain guidelineswhich must be adhered to in order to prevent any compromise of oncological safety. This article focuses on the planning of the treatmentoptions based on various assessment modalities.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134405222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Liberal Use of Pectoralis Major Muscle Flap Reduces Incidence ofPharyngocutaneous Fistula Following Salvage Laryngectomy","authors":"P. Chaturvedi, Shriketan Kale, C. Souza","doi":"10.5005/JP-JOURNALS-10003-1045","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1045","url":null,"abstract":"Patients undergoing salvage laryngectomy following chemoradiotherapy are more vulnerable to develop pharyngocutaneous fistula. This isdue to fibrosis and reduced vascularity that results in poor postoperative healing. We are presenting a simple technique that can reduce thisdistressing complication. In patients where primary closure cannot be achieved, myocutaneous flap to reconstruct the pharynx reduces theincidence of postoperative complications. Similarly, buttressing of the suture line with the pectoralis major myofacial flap has been shown toreduce the fistula rates. Needless to say that pectoralis major muscle flap is a robust flap with acceptable complication rates.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115207717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supracricoid Partial Laryngectomy: The Second Coming","authors":"Biswajyoti Hazarika","doi":"10.5005/JP-JOURNALS-10003-1037","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1037","url":null,"abstract":"Early cancer of the larynx can be addressed by single modality treatment (surgery or radiotherapy) while advanced cancer larynx is addressed with multimodality treatment—surgery (total laryngectomy) + postoperative RT or concurrent chemotherapy + radiotherapy. But there is a subset of population with carcinoma larynx in whom single modality treatment with radiotherapy or conventional partial laryngectomy may not be sufficient while total laryngectomy with postoperative radiotherapy may be overkill. In this subset of population supracricoid partial laryngectomy is the perfect answer which bridges the gap between partial laryngectomy and total laryngectomy. In addition to utilizing this procedure in the post-RT residual disease scenario the upfront performance of SCPL can also avoid adjuvant RT in many instances. Supracricoid partial laryngectomy is an organ preservation procedure in the true sense that it can achieve an oncological safe margin and also provide a high quality of life.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121246743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}