Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 46-50, March 2003

Partial laryngectomy with imbrication laryngoplasty for unilateral glottic carcinoma

  • Gady Har-El, MD, FACS

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Gady Har-El, MD, FACS, Department of Otolaryngology, SUNY-Downstate, Box 126, 450 Clarkson Avenue, Brooklyn, NY 11203.
    • Department of Otolaryngology, State University of New York-Downstate Medical Center, Brooklyn, NY, USA
    • Continuum Cancer Centers of New York, NY, USA

Abstract 

Treatment options for unilateral glottic carcinoma include radiation therapy, partial laryngectomy, and endoscopic cordectomy. We use partial laryngectomy with imbrication laryngoplasty (PLIL) as a single modality curative approach in a selected group of patients with unilateral glottic carcinoma. PLIL includes a composite resection of the entire vocal fold with its ligament, muscle, adjacent paraglottic tissues, and the adjacent block of thyroid cartilage. A neocord is reconstructed by imbricating the remaining thyroid cartilage strips and covering them with a false vocal fold flap. PLIL provides a rapid recovery of oral/nasal airway and swallowing, excellent voice quality, and a disease-control rate similar or better than other treatment modalities.

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PII: S1043-1810(03)90041-8

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 46-50, March 2003

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