Microelectrodes and radiofrequency for transoral horizontal supraglottic laryngectomy in T3 tumors.
T3 laryngeal carcinoma
horizontal supraglottic laryngectomy
microelectrodes
radiofrequency
transoral surgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
revised:
18
09
2022
received:
13
06
2022
accepted:
04
10
2022
pubmed:
18
10
2022
medline:
15
12
2022
entrez:
17
10
2022
Statut:
ppublish
Résumé
The aim of this manuscript is to show the surgical technique for horizontal supraglottic laryngectomy in T3 carcinomas by a transoral approach using microelectrodes and radiofrequency. From 2009 to 2020, 11 selected cases of T3 laryngeal supraglottic carcinomas invading the pre-epiglottic space, with preserved vocal cords mobility underwent surgery. The technique is described step by step. Average time duration of the larynx surgery was 95 min. Nine percent of the patients presented a profuse hemorrhage 7 days postoperative; in 73% of patients the nasogastric feeding tube was withdrew 10 days after surgery. We emphasize a remarkable short surgical time and high hemostatic effectiveness. The ME tips allow to perform cuts at angles and contribute with a sense of touch. The low cost of the equipment and its easy handling and maintenance is a remarkable advantage over other technologies for transoral surgery.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
283-287Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
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Basterra J, Oishi N, Lopez I, Otero M, Sanchez A, Zapater E. Use of monopolar microelectrodes and radiofrequency in the treatment of arytenoid edema after partial horizontal laryngectomy and radiotherapy. Head Neck. 2021;43:1-4.
Vilaseca I, Blanch JL, Berenguer J, et al. Transoral laser microsurgery for locally advanced (T3-T4a) supraglottic squamous cell carcinoma: sixteen years of experience. Head Neck. 2016;38(7):1050-1057.