TL;DR: There was a diverse group of lesions within each T stage that responded differently to the surgical approaches, and the differences in the initial recurrence rates are discussed in terms of careful preoperative assessment and choice of surgical technique for early glottic carcinoma.
Abstract: The purpose of this study was to evaluate local recurrence following vertical partial laryngectomies in 416 patients with either T1N0M0 or T2N0M0 glottic carcinoma. Local failure was reported according to the T stage, the precise tumor location within each stage, the true vocal cord mobility, and the surgical procedure performed. No local recurrences were observed among 42 patients who underwent thyrotomy and cordectomy when the tumor was confined to the middle third of the mobile true vocal cord. Local failure occurred in 8 of 111 (7.2%) patients in whom hemilaryngectomy was performed for tumors confined to one mobile true vocal cord. There was a diverse group of lesions within each T stage that responded differently to the surgical approaches. The differences in the initial recurrence rates are discussed in terms of careful preoperative assessment and choice of surgical technique for early glottic carcinoma.
TL;DR: The likelihood of preserving the larynx in the surgical treatment of carcinoma depends upon the location of the tumor and its extent of invasion, and the microscopic characteristics of laryngeal carcinoma have little or no bearing on the response of the tumors to either surgery or radiotherapy.
Abstract: IN THE surgical treatment of carcinoma of the larynx, the all-important objective must necessarily be the complete eradication of the neoplasm. Often the larynx must be sacrificed and an extensive dissection of the cervical glands performed in order to excise sufficiently wide of the disease. Preservation of laryngeal function with the maintenance of an intact respiratory tract is of secondary consideration. However, total laryngectomy need not always be resorted to if a more conservative procedure such as thyrotomy, hemilaryngectomy, or pharyngotomy will save the larynx without too great an additional risk of recurrence. The likelihood of preserving the larynx in the surgical treatment of carcinoma depends upon the location of the tumor and its extent of invasion. In my experience, the microscopic characteristics of laryngeal carcinoma have little or no bearing on the response of the tumor to either surgery or radiotherapy. Limited cordal neoplasms are singularly suitable for thyrotomy
TL;DR: The outcome is described, including retreatment for recurrence of chondrosarcoma in 33 patients seen for treatment of cartilaginous tumors of the larynx from 1910 to 1979.
Abstract: From 1910 to 1979, 33 patients were seen for treatment of cartilaginous tumors of the larynx. Most of the patients had hoarseness and dyspnea, several had impaired vocal cord mobility, and one third had a lump low in the neck. A diagnosis of grade 1 chondrosarcoma was made in 21 patients, grade 2 chondrosarcoma in 10 patients, and benign chondroma in 2 patients. Most of the tumors were removed by way of laryngofissure (thyrotomy) and some by total laryngectomy. This paper describes the outcome, including retreatment for recurrence.
TL;DR: It is suggested that congenital glottic webs require accurate endoscopic diagnosis and open airway reconstruction for definitive treatment and findings at surgery correlate with recent descriptions of embryonic laryngeal development though the actual mechanism by which webs develop remains unknown.
TL;DR: The case of a 50-year-old woman who had fever and anterior neck painful mass and an intrathyroid abscess was diagnosed; and she underwent thyrotomy with transcervical approach, which proved to be a fish bone, which fortunately did not cause any adverse effects.