Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献

Supracricoid laryngectomy 环上喉切除术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.007

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History and evolution of the laryngectomy 喉切除术的历史与演变

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.002

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Total laryngectomy 全喉切除术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.008

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Imaging for larynx cancer assessment 喉癌评估成像

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.004

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Reconstruction after salvage total laryngectomy 抢救性全喉切除术后的重建

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.009

{"title":"Reconstruction after salvage total laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.009","DOIUrl":"10.1016/j.otot.2024.04.009","url":null,"abstract":"<div>Over recent decades, there has been a trend toward non-surgical or “organ preservation” therapy for advanced staged laryngeal cancers, but up to 1/3 of patients will see a lack of long-term treatment response. As a result of this paradigm shift, total laryngectomy is increasingly performed in the ‘salvage’ setting. Salvage total laryngectomy is associated with high rates of complications from impaired wound healing from prior chemotherapy and/or radiotherapy, and reconstructive techniques aim to decrease these complications. Regional and free tissue flaps are used in contemporary reconstruction of salvage laryngectomy defects. In this article, the pectoralis major myocutaneous flap and the anterolateral thigh fasciocutaneous free flap are discussed in detail. Additionally, specific techniques are described in a defect-based approach with special attention to total laryngectomy with primary closure of the mucosa, as well as defects not amenable to primary closure, such as total laryngectomy with partial or total pharyngectomy and esophagectomy. This defect-based approach allows the author to present surgical scenarios commonly encountered during salvage total laryngectomy and walk the reader through various reconstructive techniques.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 180-186"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030876","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}

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Open organ preservation for laryngeal cancer 喉癌的开放性器官保存术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.006

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Surgery for locally advanced laryngeal cancer 局部晚期喉癌的手术治疗

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.010

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Surgery and rehabilitation for speech following laryngectomy 喉切除术后的手术和语言康复

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.011

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Operative techniques in otolaryngology: Head and neck surgery. Geisinger Medical Center experience for whole mount laryngectomy specimen 耳鼻喉科手术技术：头颈外科。Geisinger 医疗中心全山喉切除术标本的经验。

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.003

{"title":"Operative techniques in otolaryngology: Head and neck surgery. Geisinger Medical Center experience for whole mount laryngectomy specimen","authors":"","doi":"10.1016/j.otot.2024.04.003","DOIUrl":"10.1016/j.otot.2024.04.003","url":null,"abstract":"<div>The American Cancer Society estimates approximately 12,380 new cases of laryngeal cancer (0.7% of all cases) with approximately 3820 people dying from the disease. There is 3.86:1 male to female ratio and represent third most prevalent upper aerodigestive tract site, following the oral and pharyngeal regions. Typically affects patients in the fifth decade of life. Accurate diagnosis and management are crucial for patient survival. This study examines the pathological features of laryngectomy specimens and their significance in the diagnosis and management of laryngeal cancer. Our institution's intraoperative evaluation of margins and surgical procedures for laryngeal cancer treatment are also discussed. The study found that gross pathology and histomorphology of laryngeal specimens after laryngectomy are the most accurate methods for determining the extent of tumor involvement. The majority of our procedures involve total or partial laryngectomy. The significance of surgical pathology in the diagnosis and management of laryngeal cancer is highlighted in this article.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789286","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}

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Trans-oral laser microsurgery in the management of glottic cancer 经口激光显微手术治疗声门癌

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.005

引用次数: 0