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Laser hypopharynx

Carlos Miguel Chiesa Estomba, Frank Alberto Betances Reinoso, Alejandra Osorio Velasquez, Jose Luis Rodriguez Fernandez, Jose Luis Fariña Conde, Carmelo Santidrian Hidalgo
INTRODUCTION: Transoral laser microsurgery (TLM) has won territory in larynx oncology, establishing itself as an effective option in treatment of glottic, supraglottic, and hypopharynx tumors. Its advantages include limited resections, a reduction in number of tracheostomies, and the use of nasogastric tubes. Moreover, its oncological benefits are similar to those from open surgery in patients with early or advanced stages, when correctly selected. OBJECTIVE: The objective of this study is to review oncologic outcomes obtained with the treatment of a series of glottic tumors, treated by TLM...
July 2016: International Archives of Otorhinolaryngology
Ayman Ads, Frederic Auerbach, Kelly Ryan, Abdel R El-Ganzouri
We report the successful use of the Air-Q laryngeal airway (Air-Q LA) as a ventilatory device and a conduit for tracheal intubation to rescue the airway in a patient with difficult airway and tracheal stenosis. This is the first case report of the device to secure the airway after two episodes of hypoxemia in the operating room and intensive care unit. Consent for submission of this case report was obtained from our institution's human studies institutional review board given that the patient died a few months after his discharge from the hospital before his personal consent could be obtained and before preparation of this report...
August 2016: Journal of Clinical Anesthesia
Carlos Miguel Chiesa Estomba, Frank Alberto Betances Reinoso, Alejandra Osorio Velasquez, Jose Luis Rodriguez Fernandez, Jose Luis Fariña Conde, Carmelo Santidrian Hidalgo
Introduction Transoral laser microsurgery (TLM) has established itself as an effective option in the management of malignant tumors of the glottis, supraglottis, and hypopharynx. Nonetheless, TLM is not a harmless technique. Complications such as bleeding, dyspnea, or ignition of the air may appear in this type of surgery. Objective The aim of this study is to describe the complications that occurred in a group of patients treated for glottic and supraglottic carcinomas in all stages by TLM. Methods This study is a retrospective analysis of patients diagnosed with squamous cell carcinoma of the glottis and supraglottis for all stages (T1, T2, T3, T4), N -/ + , M -/+ treated with TLM between January 2009 and March 2012 in a tertiary hospital...
April 2016: International Archives of Otorhinolaryngology
Shun-Ichi Chitose, Kiminori Sato, Mioko Fukahori, Shintaro Sueyoshi, Takashi Kurita, Takeharu Ono, Buichiro Shin, Ryota Mihashi, Hirohito Umeno
OBJECTIVES/HYPOTHESIS: Transoral laser microsurgery (TLM) for hypopharyngeal cancer results in a lower incidence of complications than conventional open surgery. However, additional knowledge regarding the histoanatomical characteristics of the hypopharynx is necessary to prevent severe complications during TLM. The purpose of this study is to investigate the histoanatomical characteristics of the hypopharynx for TLM. STUDY DESIGN: Histoanatomical study. METHODS: Whole organ serial sections of three hypopharynges and larynges from autopsy cases were subjected to hematoxylin & eosin and Elastica van Gieson staining...
August 2016: Laryngoscope
Héliton S Antunes, Luciene Fontes Schluckebier, Daniel Herchenhorn, Isabele A Small, Carlos M M Araújo, Celia Maria Pais Viégas, Mariana P Rampini, Elza M S Ferreira, Fernando L Dias, Vanessa Teich, Nelson Teich, Carlos G Ferreira
BACKGROUND: Oral mucositis is a major event increasing treatment costs of head and neck squamous cell carcinoma (HNSCC) patients treated with chemoradiation (CRT). This study was designed to estimate the cost-effectiveness of low-level laser therapy (LLLT) to prevent oral mucositis in HNSCC patients receiving CRT. METHODS: From June 2007 to December 2010, 94 patients with HNSCC of nasopharynx, oropharynx, and hypopharynx entered a prospective, randomized, double blind, placebo-controlled, phase III trial...
January 2016: Oral Oncology
Astrid Wolf-Magele, Johannes Schnabl, Christoph Url, Roland Sedivy, Georg Mathias Sprinzl
BACKGROUND: The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx. METHODS: Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases. RESULTS: Intraoperatively, we found a tumor mass of 7 × 5 cm...
February 2016: Wiener Klinische Wochenschrift
Bartosz Szybiak, Andrzej Marszałek, Łukasz Łuczewski, Pawel Golusinski, Jakub Pazdrowski, Ewa Majchrzak, Piotr Pieńkowski, Wojciech Golusinski
Recurrent respiratory papillomatosis is an increasingly common disease which leads to organic and functional limitations. Clinical symptoms depend on the location and extent of the papillomatosis. They include hoarseness, cough, and, in some cases, significant narrowing of the respiratory and digestive tracts. The present report describes a fatal case of a young man (28 years old) who developed a very dynamic papilloma infection of the larynx, which spread to the trachea, the oesophagus, the soft tissues of the neck, and the mediastinum...
March 2015: Polish Journal of Pathology: Official Journal of the Polish Society of Pathologists
Balazs B Lörincz, Chia-Jung Busch, Nikolaus Möckelmann, Rainald Knecht
Over the past 5 years, transoral robotic surgery (TORS) has become well established as one of the standard treatment options for T1 and T2 oropharyngeal squamous cell carcinoma. Besides this main indication, TORS can provide with improved access to other subsites of the upper aerodigestive tract as well, such as the supraglottic larynx and the hypopharynx, with superior visibility and maneuverability to that of transoral laser microsurgery (TOLM). Since September 2011, over one hundred TORS procedures have been performed at our institution, predominantly for oropharyngeal cancer...
October 2015: European Archives of Oto-rhino-laryngology
S Mattheis, S Lang
INTRODUCTION: Within the last years transoral robotic surgery (TORS) with endoscopic visualization and surgery has gained importance in the resection of head and neck tumors and is an alternative to transoral laser microsurgery. The further development of transoral endoscopic systems should enhance the surgical options and reduce the surgery related morbidity. Thus, we evaluated a new flexible endoscopy system in cadaver -dissections. METHODS: In March 2014 we performed all standard procedures of transoral tumor surgery in the oropharynx, hypopharynx and larynx in 3 fresh cadaveric specimens using the Medrobotics Flex(®) System...
January 2015: Laryngo- Rhino- Otologie
Ryan S Jackson, James T May, James Norman, Tapan A Padhya
No abstract text is available yet for this article.
November 2013: Otolaryngology—Head and Neck Surgery
Chin-Lung Kuo, Tsung-Lun Lee, Pen-Yuan Chu
CONCLUSIONS: Endoscopic laser microsurgery (ELM) provides comparable oncological outcomes, and improved functional recovery and laryngeal preservation compared with open partial laryngopharyngectomy (OPLP) in patients with early squamous cell carcinoma of the hypopharynx (HPSCC). The use of open surgery is declining. The outcome of the study provides evidence-based recommendations for surgical choices in HPSCC treatment. However, it is not conclusive without a larger prospective study...
October 2013: Acta Oto-laryngologica
Manuel Bernal-Sprekelsen, José-Luis Blanch, Miguel Caballero-Borrego, Isabel Vilaseca
The goal of the study was to identify parameters helpful to define a learning curve for laser microsurgery (TLM). 587 patients with malignant tumors of larynx and hypopharynx treated with TLM were divided into groups depending on the number of interventions their surgeons had performed. Outcome measures were obtained for the number of revision surgeries and complications, rates for tumor-free margins, tumor relapse and disease-specific survival rates for early and advanced tumors, serving to evaluate their potential influence on the learning curve...
February 2013: European Archives of Oto-rhino-laryngology
Sultan Pradhan, Marzi Mehta, Arsheed Hakeem, Jagadish Tubachi, R Kannan
The advent of transoral microlaryngoscopic laser surgery is making a significant impact on treatment decisions in the management of early squamous cancers of the larynx and the hypopharynx. It has, to a great extent replaced the conventional open partial laryngectomy procedures. Moreover many cancers of the larynx or the hypopharynx that were earlier being treated with radiation therapy are now resected transorally with the CO(2) laser. This article focuses on the progress of transoral laser microsurgery in the management of early larygopharyngeal cancers...
April 2010: Indian Journal of Surgical Oncology
Jimmy Yu Wai Chan, William Ignace Wei
OBJECTIVES: Squamous cell carcinoma (SCC) of the hypopharynx represents a distinct clinical entity among other cancers of the head and neck region. Despite recent advances in chemoradiotherapy, surgery remains the preferred therapeutic option for locally advanced disease and salvage for failure after chemo-radiotherapy. In this article, several aspects of surgical and non-surgical approaches in the management of hypopharyngeal cancer are discussed. METHODS: A search in pubmed was made for publications with regard to the management of hypopharyngeal carcinoma...
February 2013: Auris, Nasus, Larynx
Benjamin Pogorzelski, Uli Hanenkamp, Martin Goetz, Ralf Kiesslich, Jan Gosepath
OBJECTIVE: To use intraoperative confocal endomicroscopy for early detection and resection of squamous cell carcinoma (SCC) of the head and neck. A preliminary report. DESIGN: Prospective case series. SETTING: Tertiary referral hospital. PATIENTS: Fifteen consecutive patients with SCC of the oral cavity, hypopharynx, and larynx were included from the Department of Otolaryngology-Head and Neck Surgery, HSK Dr Horst Schmidt Kliniken GmbH, Wiesbaden, Germany INTERVENTIONS: Confocal endomicroscopy was performed during diagnostic and therapeutic procedures with a prototype of a rigid laser endoscope in combination with the already available technology of autofluorescence...
April 2012: Archives of Otolaryngology—Head & Neck Surgery
Isabel Vilaseca, José L Blanch, Manuel Bernal-Sprekelsen
PURPOSE OF REVIEW: Organ preservation strategies are a major focus of interest in head and neck cancer. There are two ways to preserve the function in the treatment of squamous cell carcinomas of the hypopharynx: organ-sparing surgery or neoadjuvant or concomitant chemoradiotherapy. From the surgical point of view, the possibilities of organ sparing have been increased with the use of transoral carbon dioxide laser surgery. Our purpose is to review this technique as a preservation surgical strategy for hypopharyngeal carcinomas...
April 2012: Current Opinion in Otolaryngology & Head and Neck Surgery
Jun Wang, De-Min Han, Xin Ni, Li-Jing Ma, Jing-Ying Ye, Yang Xiao
Fibrovascular polyp of the hypopharynx and esophagus, a rare, benign, intraluminal and submucosal tumor, is most commonly originated from the proximal esophagus. We discussed four cases with regurgitation, respiratory symptom or the feeling of a mass in the throat. All the patients were examined with laryngoscope under general anesthesia. A transverse cervical incision was performed in one patient and the polyps were excised under laryngoscope with CO2 laser in the other three patients. All the lesions were removed successfully...
October 2011: Chinese Medical Journal
Hayet Dali, Beatrix Barry, Michel Wassef, Dhouha Mansouri, Muriel Hourseau, Dominique Hénin, Ranya Soufan
The giant fibrovascular polyp of the hypopharynx is a rare and benign tumor. We report one case in a 46-year-old man. This lesion, usually unique, affects predominantly men with an average age of 53 years. These polyps are located predominantly in the upper esophagus and rarely in the hypopharynx. They are usually asymptomatic and small, detected by endoscopy. They can grow to considerable length and cause digestive or respiratory symptoms. Histologically, fibrovascular polyps consist of a various mixture of fibrous and lipomatous elements with abundant vascularisation and they are covered by normal squamous epithelium...
June 2011: Annales de Pathologie
M P Kos, E F David, H F Mahieu
BACKGROUND: Strictures of the hypopharynx and oesophagus are frequently observed following (chemo)radiation. Anterograde dilatation of a complete stenosis carries a high risk of perforation. An alternative is described: a combined anterograde-retrograde approach. CASE REPORT: A 75-year-old man developed complete stenosis of the oesophageal inlet after primary radiotherapy for laryngeal carcinoma and full percutaneous endoscopic gastrostomy feeding. To prevent creation of a false route into the mediastinum, a dilatation wire was introduced in a retrograde fashion into the oesophagus, through the gastrostomy opening...
July 2011: Journal of Laryngology and Otology
C Cordes, M Tiemann, K Tiemann, D Knappe, M Hoffmann, S Gottschlich
PROBLEMS/OBJECTIVES: Epstein-Barr virus (EBV) is commonly associated with nasopharyngeal carcinoma and Burkitt's lymphoma, but association with hypopharyngeal and laryngeal tumours is rare. To the best of our knowledge, this is the first case report of an EBV-associated diffuse large B-cell lymphoma (DLBCL) of the hypopharynx. METHODOLOGY: A 63-year-old male patient suffering from chronic lymphocytic leukemia presented with swallowing disorders and a sore throat...
2011: B-ENT
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