The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform
Yutomo Seino - One of the best experts on this subject based on the ideXlab platform.
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Supracricoid laryngectomy with cricohyoidoepiglotto-pexy or cricohyoido-pexy: Experience on 32 patients
Auris nasus larynx, 2007Co-Authors: Meijin Nakayama, Makito Okamoto, S. Miyamoto, Masahiko Takeda, Satoru Yokobori, Takashi Masaki, Yutomo SeinoAbstract:Abstract Objective Supracricoid laryngectomy (SCL) with Cricohyoidoepiglotto-pexy (CHEP) or Cricohyoido-pexy (CHP) is an organ preservation surgery indicated for early and selected advanced laryngeal cancers. To verify the clinical usefulness of supracricoid laryngectomy versus total laryngectomy, a retrospective review was conducted. Methods We summarized the clinical and postoperative data of 32 patients who received SCL over the past 9 years (1997–2005). Five-year survival rate of the SCL patient group (29 cases) was compared with that of the patient group receiving total laryngectomy (35 cases) within the same period. Results Wound infection was detected in 12 patients (38%). Those with severe infection, which required surgical intervention, included two cases of ruptured pexis and two cases showing cricoid Cartilage necrosis induced by Forestier disease. There were two T4 cases that resulted in extensive excision. In one case, excision involved the posterior part of the cricoid Cartilage resulting in insufficient closure of the neoglottis; the patient received total laryngectomy 30 months after SCL–CHEP because of persistent aspiration of liquid diet. In the other T4 case, the tumor invaded the thyroid and arytenoid Cartilages but not the cricoid Cartilage. Reposition of the remaining Corniculate Cartilage resulted in sufficient closure of the neoglottis; this patient subsequently acquired satisfactory laryngeal function. The 5-year overall survival rate was 86% for SCL group and 61% for the total laryngectomy group (limited to Stages III and IV glottic cancers). The causes of the four deaths were distant metastasis, neck metastasis, and intercurrent disease, respectively. Two patients are alive with distant disease. Conclusion Through our experience in this series, the functional and oncological results of SCL showed certain advantages over those of total laryngectomy. Particularly, the clinical impact of SCL–CHEP was impressive; this technique needs is recommended to both head and neck surgeons and patients.
S. Arif Ulubil - One of the best experts on this subject based on the ideXlab platform.
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An unusual cause of foreign-body sensation in the throat: Corniculate Cartilage subluxation
American journal of otolaryngology, 2003Co-Authors: Tuncay Ulug, S. Arif UlubilAbstract:Corniculate Cartilage subluxation is a pathology that has not been reported in the medical literature. Causing vague pharyngeal symptoms, this disease entity may be overlooked or misdiagnosed as chronic nonspecific pharyngitis, globus pharyngis, or laryngopharyngeal reflux disease. A careful laryngoscopic examination is the key to detect this disorder. In this article, we present a 45-year-old patient with the complaints of foreign-body sensation in the throat, difficulty in swallowing solid food, and an urge to turn his head toward the left during the act of swallowing. His laryngeal examination revealed Corniculate Cartilage subluxation, and excision of the subluxated Cartilage was performed by microlaryngoscopic surgery. The patient was free of his symptoms immediately after the operation and remained as such in the 6 months of follow-up.
Meijin Nakayama - One of the best experts on this subject based on the ideXlab platform.
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Supracricoid laryngectomy with cricohyoidoepiglotto-pexy or cricohyoido-pexy: Experience on 32 patients
Auris nasus larynx, 2007Co-Authors: Meijin Nakayama, Makito Okamoto, S. Miyamoto, Masahiko Takeda, Satoru Yokobori, Takashi Masaki, Yutomo SeinoAbstract:Abstract Objective Supracricoid laryngectomy (SCL) with Cricohyoidoepiglotto-pexy (CHEP) or Cricohyoido-pexy (CHP) is an organ preservation surgery indicated for early and selected advanced laryngeal cancers. To verify the clinical usefulness of supracricoid laryngectomy versus total laryngectomy, a retrospective review was conducted. Methods We summarized the clinical and postoperative data of 32 patients who received SCL over the past 9 years (1997–2005). Five-year survival rate of the SCL patient group (29 cases) was compared with that of the patient group receiving total laryngectomy (35 cases) within the same period. Results Wound infection was detected in 12 patients (38%). Those with severe infection, which required surgical intervention, included two cases of ruptured pexis and two cases showing cricoid Cartilage necrosis induced by Forestier disease. There were two T4 cases that resulted in extensive excision. In one case, excision involved the posterior part of the cricoid Cartilage resulting in insufficient closure of the neoglottis; the patient received total laryngectomy 30 months after SCL–CHEP because of persistent aspiration of liquid diet. In the other T4 case, the tumor invaded the thyroid and arytenoid Cartilages but not the cricoid Cartilage. Reposition of the remaining Corniculate Cartilage resulted in sufficient closure of the neoglottis; this patient subsequently acquired satisfactory laryngeal function. The 5-year overall survival rate was 86% for SCL group and 61% for the total laryngectomy group (limited to Stages III and IV glottic cancers). The causes of the four deaths were distant metastasis, neck metastasis, and intercurrent disease, respectively. Two patients are alive with distant disease. Conclusion Through our experience in this series, the functional and oncological results of SCL showed certain advantages over those of total laryngectomy. Particularly, the clinical impact of SCL–CHEP was impressive; this technique needs is recommended to both head and neck surgeons and patients.
Tuncay Ulug - One of the best experts on this subject based on the ideXlab platform.
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An unusual cause of foreign-body sensation in the throat: Corniculate Cartilage subluxation
American journal of otolaryngology, 2003Co-Authors: Tuncay Ulug, S. Arif UlubilAbstract:Corniculate Cartilage subluxation is a pathology that has not been reported in the medical literature. Causing vague pharyngeal symptoms, this disease entity may be overlooked or misdiagnosed as chronic nonspecific pharyngitis, globus pharyngis, or laryngopharyngeal reflux disease. A careful laryngoscopic examination is the key to detect this disorder. In this article, we present a 45-year-old patient with the complaints of foreign-body sensation in the throat, difficulty in swallowing solid food, and an urge to turn his head toward the left during the act of swallowing. His laryngeal examination revealed Corniculate Cartilage subluxation, and excision of the subluxated Cartilage was performed by microlaryngoscopic surgery. The patient was free of his symptoms immediately after the operation and remained as such in the 6 months of follow-up.
Takashi Masaki - One of the best experts on this subject based on the ideXlab platform.
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Supracricoid laryngectomy with cricohyoidoepiglotto-pexy or cricohyoido-pexy: Experience on 32 patients
Auris nasus larynx, 2007Co-Authors: Meijin Nakayama, Makito Okamoto, S. Miyamoto, Masahiko Takeda, Satoru Yokobori, Takashi Masaki, Yutomo SeinoAbstract:Abstract Objective Supracricoid laryngectomy (SCL) with Cricohyoidoepiglotto-pexy (CHEP) or Cricohyoido-pexy (CHP) is an organ preservation surgery indicated for early and selected advanced laryngeal cancers. To verify the clinical usefulness of supracricoid laryngectomy versus total laryngectomy, a retrospective review was conducted. Methods We summarized the clinical and postoperative data of 32 patients who received SCL over the past 9 years (1997–2005). Five-year survival rate of the SCL patient group (29 cases) was compared with that of the patient group receiving total laryngectomy (35 cases) within the same period. Results Wound infection was detected in 12 patients (38%). Those with severe infection, which required surgical intervention, included two cases of ruptured pexis and two cases showing cricoid Cartilage necrosis induced by Forestier disease. There were two T4 cases that resulted in extensive excision. In one case, excision involved the posterior part of the cricoid Cartilage resulting in insufficient closure of the neoglottis; the patient received total laryngectomy 30 months after SCL–CHEP because of persistent aspiration of liquid diet. In the other T4 case, the tumor invaded the thyroid and arytenoid Cartilages but not the cricoid Cartilage. Reposition of the remaining Corniculate Cartilage resulted in sufficient closure of the neoglottis; this patient subsequently acquired satisfactory laryngeal function. The 5-year overall survival rate was 86% for SCL group and 61% for the total laryngectomy group (limited to Stages III and IV glottic cancers). The causes of the four deaths were distant metastasis, neck metastasis, and intercurrent disease, respectively. Two patients are alive with distant disease. Conclusion Through our experience in this series, the functional and oncological results of SCL showed certain advantages over those of total laryngectomy. Particularly, the clinical impact of SCL–CHEP was impressive; this technique needs is recommended to both head and neck surgeons and patients.