Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-02T21:05:58.602Z Has data issue: false hasContentIssue false

Horizontal glottectomy: functional and oncological results

Published online by Cambridge University Press:  29 June 2007

Xavier Carrat*
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Jean-Marc Francois
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
François Devars
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Dominique Carles
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Louis Traissac
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
*
Address for correspondence: Xavier Carrat, M.D., Service ORL 11A2, Hôpital Pellegrin, Place Amélie Raba Léon, Bordeaux 33076, France.

Abstract

The authors report on their experience with 25 cases of horizontal glottectomy and discuss the functional and oncological results of this operation. Indications for this procedure are Tia and Tib glottic carcinomas. The overall three-year and five-year survival was respectively 94 and 88 per cent. Distant metastasis appears to be the major long-term failure, three patients dying of lung carcinoma. Short functional rehabilitation was observed in all cases. Decannulation was achieved in 100 per cent of the cases and none of our patients had laryngeal stenosis. The average time of removal of the nasogastric tube was 11.8 days. Because of its high local control and reduced functional after effects, horizontal glottectomy appears to be a reliable and safe procedure for limited glottic carcinomas and must be included in their therapeutic management.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Calearo, C., Teatini, G. (1978) Horizontal glottectomy. Laryngoscope 88: 15291535.CrossRefGoogle ScholarPubMed
Calearo, C., Merlo, R. (1992) Personal experience on horizontal glottectomy. Critical evaluation of long-term results. Journal of Otorhinolaryngology and its related specialities 54: 100102.CrossRefGoogle ScholarPubMed
De Gasquet, R., Chays, A., Magnan, J., Bremond, G. (1989) Laryngectomie horizontale de Calearo et Teatini. Journal Francais Otorhinolaryngologie 38: 459462.Google Scholar
Laccourreye, O., Weinstein, G., Brasnu, D., Trotoux, J., Laccourreye, H. (1991) Vertical partial laryngectomy: a critical analysis of local recurrence. Annals of Otology, Rhinology and Laryngology 100: 6871.CrossRefGoogle ScholarPubMed
Majer, E., Rieder, W. (1959) Technique de Ia laryngectomie permettant de conserver la perméabilité respiratoire. Annals de Otolaryngologie (Paris) 76: 677687.Google Scholar
Pencroffi, E., Chays, A., Lepette-Gilot, C., Cohen, J. M., Locatelli, P., Heuilet, G., Magnan, J. (1996) Laryngectomie horizontale glottique. A propos de 21 cas. Journal Francais Otorhinolaryngologie 45: 98106.Google Scholar
Perrin, C., Muriel, P., Brunet, A. (1986) Valeur comparée de la crico-hyoïdo-épiglotto-pexie et de la laryngectomie frontale selon la technique de Tucker. Revue de Laryngologie, Otologie, Rhinologie 107: 3537.Google Scholar
Piquet, J. J., Desaulty, A., Decroix, G. (1974) Crico-hyoïdoépiglottopexie. Technique opératoire et résultats fonctionnels. Annales de Oto-Laryngologie (Paris) 91: 681689.Google Scholar
Piquet, J. J., Chevalier, D. (1991) Subtotal laryngectomy with crico-hyoïdo-épiglottopexie for the treatment of extended glottic carcinoma. American Journal of Surgery 162: 357361.CrossRefGoogle Scholar
Traissac, L., Petit, J., Lecoq, M., Devars, F. (1984) L'intervention de Caléaro ou translaryngee glottique. Principes chirurgicaux et résultats fonctionnels. Revue de Laryngologie, Otologie, Rhinologie 105: 267269.Google Scholar
Traissac, L., Verhulst, J. (1991) Indications techniques et résultats des laryngectomies reconstructives. Revue de Laryngologie, Otologie, Rhinologie 112: 5558.Google Scholar
Tucker, H., Wood, B., Levine, H., Katz, R. (1979) Glottic reconstruction after near total laryngectomy. Laryngoscope 89: 609617.CrossRefGoogle ScholarPubMed
Zanaret, M., Giovanni, A., Gras, R., Cannoni, M. (1993) Near total laryngectomy with epiglottic reconstruction: long-term results in 57 patients. American Journal of Otolaryngology 14: 419425.CrossRefGoogle ScholarPubMed
Zanaret, M., Giovanni, A., Gras, R., Bonnefifle, E., Robert, D., Cannoni, M. (1995) La laryngectomie frontale antérieure reconstructive. Résultats à long terme dans les T2 du plan glottique. Annales de Otolaryngologie (Paris) 112: 205210.Google Scholar
Zietek, E., Jaworowska, E., Tarnowska, C., Jach, K., Wasilewska, M. (1993) Horizontal laryngectomy of the glottis. Otolaryngologia Polska 47: 491495.Google ScholarPubMed