Transoral partial resection of the supraglottic laryngeal cancer

Abstract

Recently, transoral resection of the supraglottic carcinoma under microscope or video-laryngoscopy has been reported. We apply a transoral en bloc mucosal resection for supraglottic carcinoma. Seven supraglottic cancers were included in this study. Six were primary cancers and other one was a relapsed case after chemoradiotherapy. There were 2 epiglottic and 5 arytenoid cancers. The resection devices included electrocautery with Colorado Micro Dissection Needle^® or Harmonic ACE^®. The larynx was expanded with a distending laryngoscope or a large-caliber laryngoscope. We have not encountered any post-operative hemorrhage or dyspnea. The patients started their oral intake on the 1st or 2nd day after the operation. There were no local or regional relapses. An adequate choice of the laryngoscope and devices for resection is very important for better exposure of the operation field and bimanual manipulation. The otolaryngologist or head and neck surgeon should be engaged and take the initiative in this operation.