title: Horizontal glottectomy: is it an out-of-date procedure?
abstract: OBJECTIVE
  The aim of the study is to illustrate our experience with horizontal glottectomy (HG), reviewing the indications and results of this uncommon partial laryngectomy.
  
  
  METHODS
  It is a retrospective study. We completed a chart review of patients who underwent partial laryngectomy between May 2003 and June 2010. Patients who underwent HG were included in the study. Data obtained were collected and analyzed.
  
  
  RESULTS
  Seven male patients were included in the study (mean age was 78 years; range, 69-88 years). In all cases, the TNM classification was pT1bN0M0 apart from one patient who had pT1N1M0. Three patients had a moderately differentiated neoplasm (G2), whereas 4 patients had a well-differentiated tumor (G1). Tracheotomy tube removal, oral feeding, and voice analysis have been evaluated and reported in the study. Mean follow-up was 16 months.
  
  
  CONCLUSIONS
  Horizontal glottectomy might be a worthwhile treatment option in selected patients nowadays. In older patients with anterior commissure involvement, this procedure guarantees adequate functional and good oncological results. This study may possibly help surgeons dealing with glottic cancer involving the anterior commissure because we believe that some patients could benefit from HG, even in this radiotherapy and transoral laser surgery "era."
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Azienda Ospedaliero-Universitaria Policlinico di Modena, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Alicandri-Ciufelli
authors.forename: Gabriele
authors.initials: G
authors.lastname: Molteni
authors.forename: Francesco
authors.initials: F
authors.lastname: Mattioli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bergamini
authors.forename: Sauro
authors.initials: S
authors.lastname: Tassi
authors.forename: Daniele
authors.initials: D
authors.lastname: Monzani
authors.forename: Livio
authors.initials: L
authors.lastname: Presutti
authors.forename: Ilaria
authors.initials: I
authors.lastname: D'Angeli
authors.forename: Paolo
authors.initials: P
authors.lastname: Izzo
authors.forename: Luciano
authors.initials: L
authors.lastname: Izzo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005931:Glottis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007150:Immunohistochemistry; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D060787:Neoplasm Grading; D018579:Patient Selection; D012189:Retrospective Studies; D018570:Risk Assessment; D016019:Survival Analysis; D016896:Treatment Outcome