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Volume 125 - January 2011

Contents

Page 16 of 17

Front Cover (OFC, IFC) and matter

  • JLO volume 125 issue 2 Cover and Front matter

  • Published online by Cambridge University Press:
    25 January 2011, pp. f1-f4
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  • JLO volume 125 issue 10 Cover and Front matter

  • Published online by Cambridge University Press:
    22 September 2011, pp. f1-f4
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  • JLO volume 125 issue 11 Cover and Front matter

  • Published online by Cambridge University Press:
    18 October 2011, p. f1
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  • JLO volume 125 issue 5 Cover and Front matter

  • Published online by Cambridge University Press:
    27 April 2011, pp. f1-f4
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  • JLO volume 125 issue 1 Cover and Front matter

  • Published online by Cambridge University Press:
    17 December 2010, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 125 issue 4 Cover and Back matter

  • Published online by Cambridge University Press:
    01 April 2011, pp. b1-b2
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Front Cover (OFC, IFC) and matter

  • JLO volume 125 issue 8 Cover and Front matter

  • Published online by Cambridge University Press:
    22 July 2011, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 125 issue 7 Cover and Back matter

  • Published online by Cambridge University Press:
    22 June 2011, pp. b1-b2
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Front Cover (OFC, IFC) and matter

  • JLO volume 125 issue 6 Cover and Front matter

  • Published online by Cambridge University Press:
    24 May 2011, pp. f1-f4
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  • JLO volume 125 issue 9 Cover and Front matter

  • Published online by Cambridge University Press:
    15 August 2011, pp. f1-f4
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Clinical Records

  • ‘Flaccid neoglottis’ following supracricoid partial laryngectomy: laryngoscopic revision assisted by navigation system

  • M Nakayama, Y Seino, M Okamoto, T Matsuki
  • Published online by Cambridge University Press:
    05 September 2011, pp. 1315-1319
  • Objective:

    Supracricoid partial laryngectomy is a reliable laryngeal preservation procedure for tumour stage 2 and selected stage 3 to 4 laryngeal cancers. Of 70 patients thus treated, two (3 per cent) had ‘flaccid neoglottis’, i.e. redundant mucosa at the inner arytenoid edge which intermittently obstructed the neoglottis. We discuss the mechanism and management of this complication.

    Method:

    The two cases are presented. A navigation system was used to assist surgery. Neoglottal spatial alteration (specifically cross-sectional area) was assessed pre- and post-operatively using three-dimensional computed tomography. Voice was also evaluated.

    Results:

    Inspiratory stridor and delayed stomal closure were the main symptoms. Minimum neoglottal cross-sectional area was smaller in case one than in non-affected patients. Both patients had relatively rougher and breathier voices, but had adapted well to this.

    Conclusion:

    Flaccid neoglottis is mainly due to excessive anterior retraction of residual laryngeal mucosa and to excessive mucosal pliability with age. A navigation system was useful for confirmation, but the potential for incorrect image recognition should be kept in mind. Flaccid neoglottis was treatable, with improved laryngeal function.

Front Cover (OFC, IFC) and matter

  • JLO volume 125 issue 3 Cover and Front matter

  • Published online by Cambridge University Press:
    17 February 2011, pp. f1-f4
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Back Cover (IBC, OBC) and matter

  • JLO volume 125 issue 1 Cover and Back matter

  • Published online by Cambridge University Press:
    17 December 2010, pp. b1-b2
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  • JLO volume 125 issue 5 Cover and Back matter

  • Published online by Cambridge University Press:
    27 April 2011, pp. b1-b2
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  • JLO volume 125 issue 3 Cover and Back matter

  • Published online by Cambridge University Press:
    17 February 2011, pp. b1-b2
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  • JLO volume 125 issue 2 Cover and Back matter

  • Published online by Cambridge University Press:
    25 January 2011, pp. b1-b2
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  • JLO volume 125 issue 8 Cover and Back matter

  • Published online by Cambridge University Press:
    22 July 2011, pp. b1-b2
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Book Review

Back Cover (IBC, OBC) and matter

  • JLO volume 125 issue 6 Cover and Back matter

  • Published online by Cambridge University Press:
    24 May 2011, pp. b1-b2
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  • JLO volume 125 issue 10 Cover and Back matter

  • Published online by Cambridge University Press:
    22 September 2011, pp. b1-b2
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Page 16 of 17