Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World
Introduction. The introduction of laryngeal transoral procedures has created a shift in the treatment of laryngeal cancers towards the primary surgical management of patients. In this study, we aimed to evaluate the safety, efficacy, and feasibility of the transoral laser-assisted total laryngectomy...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2020/8827139 |
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| author | Aslan Ahmadi Saleh Mohebbi Masoud Kazemi Ayda Sanaei |
| author_facet | Aslan Ahmadi Saleh Mohebbi Masoud Kazemi Ayda Sanaei |
| author_sort | Aslan Ahmadi |
| collection | DOAJ |
| description | Introduction. The introduction of laryngeal transoral procedures has created a shift in the treatment of laryngeal cancers towards the primary surgical management of patients. In this study, we aimed to evaluate the safety, efficacy, and feasibility of the transoral laser-assisted total laryngectomy (TLM-TL) in advanced laryngeal cancer. Case presentation. In this case report, we describe a case of a 50-year-old male patient presented to the otorhinolaryngology clinic with a history of hoarseness and odynophagia since 6 months. Based on the pathological and imaging findings, the diagnosis of stage IVa laryngeal squamous cell carcinoma with the involvement of the base, tongue, and left palatine tonsil was made for the patient, and transoral total laryngectomy with partial glossectomy via the TLM technique was planned. Result. The tumor was successfully resected by TLM-TL with clear surgical margins. No complication was observed after the surgery. Good functional recovery was obtained regarding swallowing and speech. The patient’s oncologic and functional outcomes were evaluated for 2 years. Everything was satisfactory with good long-term cosmetic and laryngopharyngeal functional outcome and no sign of tumor recurrence. Conclusions. TLM-TL is a minimally invasive and cost-benefit endoscopic surgical procedure feasible in advanced laryngeal cancer with good long-term oncological and functional outcome. It could limit postoperative complications, mainly the incidence of pharyngocutaneous fistulae. It is also associated with better satisfaction after TL due to cosmetic benefits. |
| format | Article |
| id | doaj-art-d4912da188624df5aac248c113723a29 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-d4912da188624df5aac248c113723a292025-02-03T00:58:48ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/88271398827139Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s WorldAslan Ahmadi0Saleh Mohebbi1Masoud Kazemi2Ayda Sanaei3ENT and Head & Neck Research Center and Department, The Five Sense Institute, Iran University of Medical Science, Tehran, IranENT and Head & Neck Research Center and Department, The Five Sense Institute, Iran University of Medical Science, Tehran, IranENT and Head & Neck Department, Shahid Beheshti University of Medical Science, Tehran, IranENT and Head & Neck Research Center and Department, Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Tehran, IranIntroduction. The introduction of laryngeal transoral procedures has created a shift in the treatment of laryngeal cancers towards the primary surgical management of patients. In this study, we aimed to evaluate the safety, efficacy, and feasibility of the transoral laser-assisted total laryngectomy (TLM-TL) in advanced laryngeal cancer. Case presentation. In this case report, we describe a case of a 50-year-old male patient presented to the otorhinolaryngology clinic with a history of hoarseness and odynophagia since 6 months. Based on the pathological and imaging findings, the diagnosis of stage IVa laryngeal squamous cell carcinoma with the involvement of the base, tongue, and left palatine tonsil was made for the patient, and transoral total laryngectomy with partial glossectomy via the TLM technique was planned. Result. The tumor was successfully resected by TLM-TL with clear surgical margins. No complication was observed after the surgery. Good functional recovery was obtained regarding swallowing and speech. The patient’s oncologic and functional outcomes were evaluated for 2 years. Everything was satisfactory with good long-term cosmetic and laryngopharyngeal functional outcome and no sign of tumor recurrence. Conclusions. TLM-TL is a minimally invasive and cost-benefit endoscopic surgical procedure feasible in advanced laryngeal cancer with good long-term oncological and functional outcome. It could limit postoperative complications, mainly the incidence of pharyngocutaneous fistulae. It is also associated with better satisfaction after TL due to cosmetic benefits.http://dx.doi.org/10.1155/2020/8827139 |
| spellingShingle | Aslan Ahmadi Saleh Mohebbi Masoud Kazemi Ayda Sanaei Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World Case Reports in Otolaryngology |
| title | Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World |
| title_full | Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World |
| title_fullStr | Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World |
| title_full_unstemmed | Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World |
| title_short | Transoral Laser-Assisted Total Laryngectomy: Expanding the TLM’s World |
| title_sort | transoral laser assisted total laryngectomy expanding the tlm s world |
| url | http://dx.doi.org/10.1155/2020/8827139 |
| work_keys_str_mv | AT aslanahmadi transorallaserassistedtotallaryngectomyexpandingthetlmsworld AT salehmohebbi transorallaserassistedtotallaryngectomyexpandingthetlmsworld AT masoudkazemi transorallaserassistedtotallaryngectomyexpandingthetlmsworld AT aydasanaei transorallaserassistedtotallaryngectomyexpandingthetlmsworld |