Surgical armamentarium for salvage laryngectomy closure reinforcements

Head & Neck ◽  
2021 ◽  
Author(s):  
Pirabu Sakthivel ◽  
Suresh Mani ◽  
Smriti Panda ◽  
Chirom Amit Singh ◽  
Alok Thakar
Keyword(s):  
Salvage Laryngectomy

Reply to Letter to the Editor regarding “Surgical armamentarium for salvage laryngectomy closure reinforcements”

Head & Neck ◽  
2021 ◽  
Author(s):  
Richard E. Hayden ◽  
Brent A. Chang ◽  
David P. Mullin ◽  
Andrew K. Patel ◽  
Thomas H. Nagel ◽  
...  
Keyword(s):  
Letter To The Editor ◽  
Salvage Laryngectomy

Use of a sternocleidomastoid muscle flap to protect the carotid artery during laryngectomy

2021 ◽  
pp. 1-4
Author(s):  
J C Fleming ◽  
A R Fuson ◽  
H Jeyarajan ◽  
C M Thomas ◽  
B Greene
Keyword(s):  
Carotid Artery ◽  
Marked Reduction ◽  
Muscle Flap ◽  
Sternocleidomastoid Muscle ◽  
Simple Method ◽  
Initial Surgery ◽  
Great Vessels ◽  
Prevertebral Fascia ◽  
Sternocleidomastoid Muscle Flap ◽  
Salvage Laryngectomy

Abstract Objectives This paper describes a simple method of securing tissue coverage of the great vessels at the initial surgery by rotating the divided sternal heads of the sternocleidomastoid muscle, a routine step during laryngectomy, and approximating them to the prevertebral fascia. The paper presents an illustrated case example where this technique in a salvage laryngectomy repair resulted in a protected vascular axis following a salivary leak. Results Since utilising this technique, there has been a marked reduction in the requirement of subsequent flap procedures to protect vessels, and no episodes of threatened or actual carotid blowout.

Free Tissue Transfer to Manage Salvage Laryngectomy Defects After Organ Preservation Failure

2007 ◽  
Vol 117 (5) ◽  
pp. 781-784 ◽  
Author(s):  
Kirk P. Withrow ◽  
Eben L. Rosenthal ◽  
Christine G. Gourin ◽  
Glenn E. Peters ◽  
J Scott Magnuson ◽  
...  
Keyword(s):  
Organ Preservation ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Salvage Laryngectomy

Elective neck dissection for the node-negative neck during salvage laryngectomy: an analysis of survival outcomes and complication rates

2019 ◽  
Vol 133 (09) ◽  
pp. 788-791
Author(s):  
M Gouzos ◽  
O Dale ◽  
N Sethi ◽  
A Foreman ◽  
S Krishnan ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Elective Neck Dissection ◽  
Survival Outcomes ◽  
Pharyngocutaneous Fistula ◽  
Complication Rates ◽  
True Value ◽  
Salvage Laryngectomy

AbstractObjectivesThis study aimed to evaluate the effect of neck dissection on survival and complication rates in patients with no clinical or radiological evidence of cervical nodal disease (N0) undergoing salvage laryngectomy.MethodsA retrospective study was conducted of patients with squamous cell carcinoma of the larynx following primary radiotherapy that required salvage laryngectomy. Disease-free and overall survival rates were compared over three years using Kaplan–Meier analysis. Pharyngocutaneous fistula rate, hospitalisation length and the requirement for further surgical intervention were also compared across cohorts.ResultsTwenty-three cases met the inclusion criteria (17 neck dissections, 6 undissected). No significant differences in survival outcomes were identified. One patient who underwent neck dissection for advanced, recurrent transglottic squamous cell carcinoma showed evidence of occult lymph node metastases. Fistula rates did not differ significantly between dissected and non-dissected groups; however, two patients required surgical repair of post-operative pharyngocutaneous fistula following neck dissection.ConclusionIn this study, elective neck dissection did not appear to alter survival outcomes or complication rates during salvage laryngectomy. Given the small but significant risk of occult neck metastases, its true value remains unclear.

scholarly journals ASO Author Reflections: Hypothyroidism and Wound Healing After Salvage Laryngectomy

2018 ◽  
Vol 25 (S3) ◽  
pp. 896-897
Author(s):  
Andrew J. Rosko ◽  
Matthew E. Spector
Keyword(s):  
Wound Healing ◽  
Salvage Laryngectomy

scholarly journals Elective Paratracheal Lymph Node Dissection in Salvage Laryngectomy

2019 ◽  
Vol 26 (8) ◽  
pp. 2542-2548 ◽  
Author(s):  
Janice L. Farlow ◽  
Andrew C. Birkeland ◽  
Andrew J. Rosko ◽  
Kyle VanKoevering ◽  
Catherine T. Haring ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Paratracheal Lymph Node ◽  
Salvage Laryngectomy

Salvage laryngectomy following organ-preservation therapy – An evidence-based review

Oral Oncology ◽  
2019 ◽  
Vol 88 ◽  
pp. 137-144 ◽  
Author(s):  
Dustin A. Silverman ◽  
Sidharth V. Puram ◽  
James W. Rocco ◽  
Matthew O. Old ◽  
Stephen Y. Kang
Keyword(s):  
Organ Preservation ◽  
Evidence Based ◽  
Salvage Laryngectomy
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