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May 1997

Management of Bilateral Glottic Tumors

Author Affiliations

From the Department of Otolaryngology, The Mount Sinai Medical Center, New York, NY.

Arch Otolaryngol Head Neck Surg. 1997;123(5):465-473. doi:10.1001/archotol.1997.01900050011001

Objective:  To compare the rates of cure and complication and the time to decannulation and deglutition in patients undergoing resection of bilateral glottic tumors.

Design:  A 22-year, nonrandomized, prospective, retrospective analysis.

Setting:  Two academic tertiary care referral centers.

Participants:  Seventy-two patients with bilateral glottic carcinoma were treated using bilateral hemilaryngectomy. Depending on the size of the tumor and the extent of thyroid cartilage resection, patients underwent 1 of 3 methods of reconstruction: group 1, placement of an anterior commissure stent (34 patients); group 2, epiglottic laryngoplasty (15 patients); and group 3, staged posterior thyroid alar transposition laryngoplasty (23 patients).

Intervention:  Resection and reconstruction of 72 larynges with bilateral glottic tumors using the bilateral hemilaryngectomy procedures.

Main Outcome Measures:  Acceptable rates of cure and complication, intervals to decannulation and deglutition, and quality of speech.

Results:  High rates of tumor control and cure, low rates of recurrence and complication, acceptable time to decannulation and deglutition, and adequate quality and intelligibility of speech.

Conclusions:  Bilateral vocal cord carcinoma can be treated surgically with a high degree of tumor control and cure. The use of all 3 methods maintained laryngeal function with regard to tracheal decannulation, oral alimentation, and speech intelligibility.Arch Otolaryngol Head Neck Surg. 1997;123:465-473

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