title: Transthyrohyoid access to the larynx for endoscopic resection of early-stage glottic cancer.
abstract: The effectiveness of transoral microsurgery for early-stage glottic cancer relies on the possibility to obtain adequate exposure of the lesion. The purpose of this study was to design a new surgical technique allowing efficient endoscopic removal of these tumors in patients with unsatisfactory transoral exposure.
  
  
  
  A minimal invasive access to the glottis, made through the thyrohyoid membrane and the preepiglottic space, was used for endoscopic resection of an early-stage glottic tumor in a patient with a medical history of previous radiotherapy and unsatisfactory endoscopic exposure of the lesion.
  
  
  
  This approach provided excellent exposure of the glottis and allowed endoscopic resection with adequate surgical margins. The surgical procedure and the postoperative period were uneventful. Functional outcomes were back to baseline after 1 month.
  
  
  
  This technique represents an attractive solution for patients presenting with early-stage glottic tumors that cannot be exposed transorally and have contraindications to alternative therapeutic procedures. © 2016 Wiley Periodicals, Inc. Head Neck 38:1286-1289, 2016.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, CHUV, University of Lausanne, Switzerland.
authors.forename: Yan
authors.initials: Y
authors.lastname: Monnier
authors.affiliation: Department of Anesthesiology, CHUV, University of Lausanne, Switzerland.
authors.forename: Patrick
authors.initials: P
authors.lastname: Schoettker
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, CHUV, University of Lausanne, Switzerland.
authors.forename: Benoit
authors.initials: B
authors.lastname: Morisod
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, CHUV, University of Lausanne, Switzerland.
authors.forename: Christos
authors.initials: C
authors.lastname: Ikonomidis
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, CHUV, University of Lausanne, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Simon
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D005931:Glottis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D016896:Treatment Outcome
keywords: early stage glottic cancer; endoscopic resection; laser; minimal invasive surgical approach; new surgical technique