Description
Springer Functional Partial Laryngectomy Conservation Surgery for Carcinoma of the Larynx by M. E. Wigand, W. Steiner, P. M. Stell
Cancer of the head and neck continues to be a challenge. Increasing incidence has pushed malignancy of the upper aerodigestive tract into the first rank of cancer. In some countries it follows bronchial carcinoma in frequency and is more common than gastro-intestinal and gynaecological cancer. This increasing incidence makes it difficult to train enough highly specialised staffwho are also responsible for the care of many other patients, requiring sophisticated microsurgery of the ear and nose. The question of quality is even more difficult. Oncological success in the treat ment of head and neck cancer is bought at the price of crippling of vital functions such as eating, breathing, voice and sight and furthermore of striking aesthetic de formity. Mutilation of this highly functional collection of organs is more keenly felt than that of any other region of the body. It is vital, therefore, that the surgeon keeps up with the recent achievements of functional surgery in order to offer the best ser vice to his patients. Cancer of the larynx is no exception. Despite newer techniques of radiotherapy and chemotherapy, surgery still gives the best oncological results. This requires a wide spectrum of operations varying from minimal ablation to total laryngectomy._x000D_ Table of contents : - _x000D_
A. Introduction into Conservation Surgery of the Larynx.- Anatomy of the Larynx with Reference to Functional Cancer Surgery.- Histology of Laryngeal Carcinoma - Past and Present. A Historical Review.- Historical Development of Reconstructive Surgery in Laryngeal Carcinoma.- B. Basics of Diagnosis and Planning of Therapy.- I. Clinical Diagnosis of Laryngeal Carcinoma.- Clinical Diagnosis of Laryngeal Carcinoma.- Microlaryngoscopy.- II. Diagnostic Techniques of Clinical Pathology.- Histopathology of Early Laryngeal Carcinoma.- Histologic Grading - Early Lesions.- III. Early Detection of Cancer in the Upper Aero-Digestive Tract: Mass Screening.- Experiences with Screening of Oto-Rhino-Laryngological Cancer in Hungary.- Laryngological Screening of Industrial Workers (Galvanizers, Spray Painters, Enamellers).- Prevention and Early Detection of Cancer of the Upper Aerodigestive Tract. Results of Endoscopic Mass Screening.- Screening for Upper Respiratory Tract Cancer. Sputum Cytologic Diagnosis.- Endoscopic Screening for Multiple Squamous Cell Carcinoma of the Upper Digestive and Respiratory Tracts (Oncologically Oriented Upper Aero-Digestive Pan-Endoscopy).- IV. Radiological Diagnosis.- Radiology of the Larynx.- The Value of Computerized Tomography in Conservative Surgery of Glottic Cancer.- Computed Tomography in the Diagnosis of Laryngeal Carcinoma.- V. Clinical and Histological Staging.- The Systems of UICC and AJC for Staging of Laryngeal Carcinomas.- What is the Glottis?.- Staging of Laryngeal Carcinoma.- The TNM-Classification with Regard to Surgical Planning of Partial Resections of the Larynx.- Correlation Between Clinical and Histological Staging in Laryngeal Cancer.- C. Vertical Partial Resection of the Larynx.- I. Surgical Techniques and Modifications of Vertical Partial Laryngectomy.- History, Indications and Techniques of Vertical Partial Laryngectomy.- The Role of Laryngoplasty in Vertical Partial Laryngectomies.- Selection of Treatment for In Situ and Early Invasive Carcinoma of the Glottis: Surgical Techniques and Modifications.- Partial Glottic Laryngectomy (Moser's Modification).- Experiences with Vertical Partial Laryngectomy with Special Reference to Laryngeal Reconstruction by Sternohyoid Fascia.- The Use of Cervical Fascia After Vertical Resection of the Larynx.- A Vascular Pedicled Flap of the Thyroid Gland and Its Application in Vertical Partial Laryngectomy.- Extended Frontolateral Partial Laryngectomy.- Vascular Pedicle Flap of the Thyroid Gland in the So-Called 3/4-Laiyngectomy.- Surgical Technique in Frontolateral Laryngectomy and Cordectomy.- Transoral Microsurgical CO2-Laser Resection of Laryngeal Carcinoma.- II. Posttherapeutic Histology and Microstaging in Vertical Partial Laryngectomy.- Vertical Partial Resections of the Larynx - Posttherapeutic Histology, Microstaging.- Glottic Carcinoma - with Special Reference to Tumors Involving the Anterior - Commissure and Subglottis. Posttherapeutic Histology.- Histomorphological Behaviour of the Tumour Growth in the Glottic Region.- Posttherapeutic Histopathology of Laryngeal Carcinoma.- Squamous Cell Carcinomas of the Anterior Wall of the Larynx 140.- III. Oncological and Functional Results as the Basis of Surgical Indications.- Vertical Partial Laryngectomy - Results.- Indications for Surgery or Radiotherapy for Glottic Cancer and Their Oncological Results.- Phonatory Function Following Unilateral Laser Cordectomy.- Oncological and Functional Results After Vertical Partial Laryngectomy.- Laryngofissure and Partial Vertical Laryngectomy for Early Cordal Carcinoma: Outcome in 182 Patients.- Vertical Partial Resection. Oncological and Functional Results.- Endoscopic Therapy of Early Laryngeal Cancer. Indications and Results.- Oncological Results of Vertical Partial Laryngectomy.- Indications for Moser's Glottic Partial Resection.- Voice and Respiration Before and After Partial Laryngeal Resections.- D. Horizontal Partial Resection of the Larynx.- I. Surgical Techniques and Modifications.- Horizontal Partial Laryngectomy. Historical Review and Personal Technique.- Horizontal Supraglottic Laryngectomy: Surgical Technique.- My Personal Surgical Technique of Supraglottic Horizontal Laryngectomy.- Conservation Surgery for Supraglottic Carcinoma.- Horizontal Glottic Laryngectomy (Horizontal Glottectomy): Surgical Technique.- Modifications of Supraglottic Resection of the Larynx.- Vascular Pedicle Flap of the Thyroid Gland in Horizontal Supraglottic Laryngectomy.- Three Quarters Laryngectomy.- II. Posttherapeutic Histology and Microstaging in Horizontal Partial Laryngectomy.- Horizontal Partial Resections of the Larynx. Posttherapeutic Histology and Microstaging.- Supraglottic Carcinoma - Posttherapeutic Histology.- Histological Examination of the Excised Specimen After Supraglottic Laryngectomy.- III. Oncological and Functional Results of Horizontal Partial Resections as the Basis of Surgical Indications.- Horizontal Supraglottic Laryngectomy: Results.- Results of Supraglottic Horizontal Laryngectomy.- Oncological and Functional Results of Horizontal Partial Laryngectomy.- Horizontal Glottectomy: Results.- Phonatory Function of the Larynx Following Partial Laryngectomy.- Oncological Results of Supraglottic Horizontal Partial Laryngectomy (Alonso Operation).- Oncological Results of Horizontal Partial Laryngectomy.- Horizontal Supraglottic Laryngectomy with Total Glossectomy - Oncological and Functional Results.- Cineradiographic and Manometric Measurements of Deglutition Following Horizontal Partial Laryngectomy.- E. Surgical Management of the Lymphatic System.- Why Perform a Functional Neck Dissection?.- Surgical Treatment of the Cervical Lymph Node System in Laryngeal Carcinoma.- Surgical Management of the Lymphatic System with Regard to Supraglottic Resections of the Larynx.- F. Radiotherapy and Chemotherapy.- Sequential Chemotherapy and Radiotherapy in Advanced Head and Neck Cancer.- Combined Radiation Therapy and Surgery for Limited Carcinoma of the Larynx.- Vertical and Horizontal Partial Resections of the Larynx After Radiotherapy.- Radiotherapy and Partial Laryngectomy.- Radiotherapy and Partial Supraglottic Resection.- Aspects of Adjuvant Chemotherapy in Combination with Horizontal Partial Laryngectomy.- G. Postoperative Course After Vertical and Horizontal Partial Laryngectomy.- I. Complications After Partial Resections of the Larynx.- Postoperative Care After Partial Resections of the Larynx.- Early and Late Complications After Laryngofissure or Vertical Partial Laryngectomy.- Early and Late Complications After Partial Resections of the Larynx.- Early and Late Complications After Supraglottic Partial Resection of the Larynx.- Functional Complications After Supraglottic Laryngectomy.- Late Complications and Recurrences After Partial Resections of the Larynx.- II. Early Detection and Management of Recurrences.- Follow-up Examination After Partial Laryngectomy. Early Detection of Recurrences.- Early Detection of Recurrent Tumours After Previous Treatment of Laryngeal Carcinomas.- Early Detection and Management of Recurrences After Vertical Partial Laryngectomy.- Early Detection and Management of Recurrences After Vertical Partial Laryngectomy.- Treatment of Recurrences After Supraglottic Horizontal Laryngectomy (S.H.L.).- H. Final Synopsis of Conservating Surgery for Carcinoma of the Larynx.- Resume of the Course on Conservation Surgery for Carcinoma of the Larynx, Erlangen 1982._x000D_