Use of monopolar microelectrodes and radiofrequency in the treatment of arytenoid edema after partial horizontal laryngectomy and radiotherapy.
arytenoid edema
laryngeal cancer
laryngeal stenosis
laryngomicrosurgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
07
07
2021
received:
17
01
2021
accepted:
19
07
2021
pubmed:
27
7
2021
medline:
30
9
2021
entrez:
26
7
2021
Statut:
ppublish
Résumé
We evaluated the tissue reduction effects using monopolar microelectrodes (MME) coupled to a radiofrequency (RF) generator in arytenoid edema caused by postoperative radiotherapy in larynx. This is a retrospective transversal study, which included 15 patients with supraglottic laryngeal carcinoma. All the patients had undergone a partial horizontal laryngectomy and bilateral neck dissection followed by postoperative radiotherapy. The studied group of patients presented laryngeal stenosis defined by arytenoid edema as a complication, requiring permanent tracheostomy for mean of 12 months. The surgical procedure for treating the edema was the transoral approach of the larynx by microlaryngoscopy under general anesthesia; using 180° MME coupled to a 4-MHz RF generator delivering 15 W using coagulation mode. A total of 11 (73%) patients were decannulated. The median time for decannulation was 10 weeks. No complications were reported. After 2 years of follow-ups, no case of re-stenosis was found. MME coupled to RF is a very efficient method to treat arytenoid edema after adjuvant radiotherapy.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3245-3248Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Basterra J, Reboll R, Zapater E. Eighty-three cases of glottic and supraglottic carcinomas (stage T1-T2-T3) treated with transoral microelectrode surgery: how we do it. Clin Otolaryngol. 2011;36(5):500-504. https://doi.org/10.1111/j.1749-4486.2011.02336.x PMID: 22032451.
Basterra J, Mosquera N, Oishi N, Pérez A, Zapater E. Acute tissue damage induced by monopolar microelectrodes and radiofrequency in vocal cords after transoral cordectomy. Braz J Otorhinolaryngol. 2019;S1808-8694(19)30154-5. https://doi.org/10.1016/j.bjorl.2019.11.006 Epub ahead of print. PMID: 31879194.
Oksüz DC, Uzel O, Yildirim A, Yetmen O, Sahinler I, Turkan S. Significance of laryngeal edema after partial laryngectomy and radiotherapy in supraglottic cancer. J Otolaryngol Head Neck Surg. 2008;37(5):681-688.
Patterson JM, Hildreth A, Wilson JA. Measuring edema in irradiated head and neck cancer patients. Ann Otol Rhinol Laryngol. 2007;116:559-564.
Lucioni M, Bertolin A, Lionello M, et al. Transoral laser microsurgery for managing laryngeal stenosis after reconstructive partial laryngectomies. Laryngoscope. 2017;127(2):359-365. https://doi.org/10.1002/lary.26056 Epub 2016 Jun 3.
Bjordal K, Hammerlid E, Ahlner-Elmqvist M, et al. Quality of life in head and neck cancer patients: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-H&N35. J Clin Oncol. 1999;17(3):1008-1019. https://doi.org/10.1200/JCO.1999.17.3.1008 PMID: 10071296.