Thank you for the opportunity to respond to Luna-Ortiz’s letter. The goal of our article was to reintroduce ARCHIVES readers to partial laryngectomy with imbrication laryngoplasty (PLIL), which has not been discussed recently in the literature. In his letter, Luna-Ortiz refers to an article by Muscatello and coauthors from 1997. However, this excellent article describes a different procedure that includes laryngofissure—resection of a tumor limited to the middle third of the vocal fold without resection of cartilage and without imbrication laryngoplasty. This is not PLIL and should not be compared with PLIL. In fact, patients with T1a tumors like those described in the article by Muscatello et al have many surgical (eg, endoscopic, open) and nonsurgical treatment options. Partial laryngectomy with imbrication laryngoplasty, however, although used also for treating patients with T1a tumors, has significant advantages in the treatment of T2b tumors.
Har-El G, Paniello RC, Abemayor E, Rice DH, Rassekh CH. Cordectomy With Imbrication Laryngoplasty—Reply. Arch Otolaryngol Head Neck Surg. 2005;131(3):280–281. doi:10.1001/archotol.131.3.280-b
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