Surgical and Functional Outcome After Endoscopic Resection Via Transthyrohyoid for Early Glottic Cancer

Author:

Chen Xiangyu1ORCID,Li Xumao1,Cui Xidong1,Xie Xingqiao1,Zhang Chenshan1,Lin Xinsheng1,Sun Guangbin1,Li Guangfei2

Affiliation:

1. Department of Otorhinolaryngology‐Head and Neck Surgery, Huashan Hospital Fudan University Shanghai China

2. Department of Otolaryngology‐Head and Neck Surgery, Nanjing Tongren Hospital Southeast University Nanjing China

Abstract

AbstractTransthyrohyoid access to the larynx for endoscopic resection (TTER) for early‐stage glottic cancer in patients with difficult laryngeal exposure (DLE) has recently been developed. However, little is known about the postoperative conditions of patients. Twelve early‐stage glottic cancer patients with DLE who received TTER were retrospectively reviewed. Clinical information was collected during the perioperative period. Functional outcome was evaluated using Voice Handicap Index‐10 (VHI‐10) and Eating Assessment Tool‐10 (EAT‐10) preoperatively and 12 months after surgery. None of the patients experienced serious complications after TTER. The tracheotomy tube was removed in all patients. The 3‐year local control rate was 91.6%. The VHI‐10 score decreased from 18.92 to 11.75 (p < .001), and the EAT‐10 scores of the 3 patients changed slightly. Thus, TTER may be a good option for early‐stage glottic cancer patients with DLE.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

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