Modified technique of functional vertical hemilaryngectomy for cancer invading 1 hemicricoid.
Partial laryngectomy techniques are challenging, especially in young patients where function has to be preserved without compromising the oncologic outcome. We present a modified laryngectomy technique indicated for tumors invading one hemicricoid.



Vertical hemilaryngectomy with reconstruction of neo-glottis by hemi trachea and placement of an endolaryngeal silicon prosthesis for a 21-y old female patient presenting with a synovial sarcoma located on the left arytenoid area.



The prosthesis was removed at 6 w with tracheotomy closure at 8w post-op. Patient underwent adjuvant radiotherapy. Functional outcome showed good swallowing without aspiration. Voice was hoarse. At 5 years post-op the patient is free of recurrence presenting only mild dyspnea upon effort.



Vertical hemilaryngectomy including a hemicricoid is feasible with single stage reconstruction by a hemi-trachea of 4 to 5 rings intussuscepted into the thyroid cartilage. The functional outcome is good considering oncologic safety and avoidance of a permanent tracheostomy. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1708-1716, 2016.
Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
Anne-Claude
AC
Guinchard
Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
Philippe
P
Monnier
Department of Otorhinolaryngology, Head and Neck Surgery, HNE, Neuchâtel, Switzerland.
Yves
Y
Jaquet
Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
Yan
Y
Monnier
Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland. Christos.Ikonomidis@chuv.ch.
Christos
C
Ikonomidis
D003413:Cricoid Cartilage / Q000601:surgery; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D019651:Plastic Surgery Procedures / Q000379:methods*; D013584:Sarcoma, Synovial / Q000000981:diagnostic imaging / Q000601:surgery*; D014833:Voice Quality; D055815:Young Adult
endolaryngeal stent; hemicricoidectomy; larynx; partial laryngectomy; sarcoma