CT findings after laryngectomy.
The goal of surgical treatment of laryngeal cancer is to achieve tumor control while preserving, whenever possible, the three primary functions of the larynx: breathing, swallowing, and phonation. The surgical procedure may consist of either a partial, conservative excision (eg, cordectomy, vertical partial laryngectomy, horizontal supraglottic laryngectomy, supracricoid laryngectomy with cricohyoidopexy or cricohyoidoepiglottopexy, or near total laryngectomy) or a radical excision (total laryngectomy). The procedure depends largely on the location and extension of the tumor, the stage of disease, and the patient's needs and preferences. Familiarity with the typical imaging appearance of the larynx after each procedure is crucial for differentiating normal postsurgical changes from persistent or recurrent disease as well as for diagnosing associated second primary malignancies. Since computed tomography (CT) is often used for follow-up evaluations, an ability to interpret the characteristic CT features is particularly important.
Ferreiro-Argüelles
Concepción
C
Department of Radiology, Hospital Severo Ochoa, Avenida de Orellana s/n, 28911 Leganés, Madrid, Spain. ferreiroconcha@gmail.com
Jiménez-Juan
Laura
L
Martínez-Salazar
Jesús M
JM
Cervera-Rodilla
Juan L
JL
Martínez-Pérez
Manuel M
MM
Cubero-Carralero
Jimena
J
González-Cabestreros
Susana
S
López-Pino
Miguel A
MA
Fernández-Gallardo
Juan M
JM
D000368:Aged; D006801:Humans; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000517:prevention & control*; D011379:Prognosis; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome