The definitive state-of-the-art guide on laryngeal cancer treatment from world-renowned experts
Ongoing advances in innovative technologies have improved the diagnosis and treatment of laryngeal cancer,
resulting in more optimal oncologic and functional patient outcomes. Laryngeal Cancer: Clinical Case-Based
Approaches, by distinguished head and neck surgeon Rogério R. Dedivitis and internationally recognized coeditors,
is a comprehensive reference that presents multiple options for similar lesions. Contributions from a diverse group of
globally renowned subspecialists reflect the multidisciplinary treatment of laryngeal cancer.
The book focuses on diverse primary subsites of laryngeal cancer; local, early-stage, and advanced disease stages;
and current available treatment modalities for each type. Case study chapters include insightful discussion of several
potential approaches, rationale for surgical decision making, radiographic findings, pearls, and pitfalls.
Key Features
• Diverse approaches to glottic cancer including radiotherapy, transoral laser surgery, supracricoid laryngectomy
(SCL), vertical laryngectomy, transoral laser microsurgery, chemoradiotherapy, and combined SCL and
cricohyoidoepiglottopexy.
• Treatment modalities for supraglottic cancers such as transoral laser microsurgery, radiation therapy, and
horizontal supraglottic laryngectomy.
• Salvage surgery, preservation protocol, and reconstructive flap techniques including pectoralis major
myocutaneous flap, latissimus dorsi myocutaneous flap, and antebrachial flap.
• High-quality images accompanying each case enhance clinical understanding of underlying pathologies and
surgical approaches.
Otolaryngologist—head and neck surgeons, radiation oncologists, medical oncologists, pathologists, radiologists,
speech pathologists, and all clinicians who treat laryngeal disorders will benefit from this highly informative
resource.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
1. T₁a Glottic Carcinoma Undergoing Transoral Laser Surgery
1.1 Case Report
1.2 Discussion
1.3 Tips
1.4 Traps
2. Radiotherapy for T₁a Glottic Cancer
2.1 Case Presentation
2.2 Discussion
3. Robotic Surgery for Early-Stage Laryngeal Cancer
3.1 Case Report
3.2 Discussion
3.3 Tips
3.4 Traps
4. T₁b Glottic Cancer Treated with Transoral Laser Surgery
4.1 Clinical Case
4.2 Discussion
4.3 Tips
4.4 Traps
5. T₁b Glottic Cancer
5.1 Introduction
5.2 Evaluation
5.3 Selection of Treatment Modality
5.4 Voice Quality
5.5 Simulation and Planning
5.6 Fractionation
5.7 Long-term Considerations and Secondary Malignancy
5.8 Smoking Cessation
6. T₁b Glottic Cancer, Vertical Partial Laryngectomy
6.1 Case Report
6.2 Discussiong
6.3 Tips
6.4 Traps
7. Transoral Laser Microsurgery for Intermediate Supraglottic Cancer
7.1 Case Report
7.2 Discussion
7.3 Tips
7.4 Traps
8. The Role of Radiation Therapy in Early-Stage Supraglottic Cancer
8.1 Case Report
8.2 Discussion
8.3 Tips
8.4 Traps
9. Early Supraglottic Cancer: Horizontal Supraglottic Laryngectomy
9.1 Case Report
9.2 Discussion
9.3 Tips
9.4 Traps
10. Locally Intermediate Glottic Cancer: Transoral Laser Microsurgery
10.1 Case Report
10.2 Discussion
10.3 Tips
10.4 Traps
11. Locally Intermediate Glottic Cancer: Chemoradiotherapy
11.1 Case Report
11.2 Discussion
11.3 Tips
11.4 Traps
12. Locally Intermediate Glottic Cancer: Vertical Partial Laryngectomy
12.1 Case Report
12.2 Discussion
12.3 Tips
12.4 Traps
13. Locally Intermediate Glottic Cancer: Supracricoid Laryngectomy with CHEP
13.1 Clinical Case
13.2 Discussiong
13.3 Tips and Traps
14. Transoral Robotic Surgery for Advanced Laryngeal Cancer
14.1 Introduction
14.2 Schematic Overview of Treatment Protocol (TORS Combined with Induction Chemotherapy)
14.3 Selection of Patients for Treatment Protocol
14.4 Induction Chemotherapy Protocol
14.5 Operative Procedure
14.6 Adjuvant Treatment
14.7 Treatment Outcomes
14.8 Consideration
15. Locally Advanced Supraglottic Cancer: Larynx Preservation by Transoral Laser Microsurgery
15.1 Case Presentation
15.2 Discussion
15.3 Conclusion
15.4 Tips
15.5 Traps
16. Locally Intermediate Supraglottic Cancer: Radiotherapy
16.1 Case Report
16.2 Discussion
16.3 Tips
16.4 Traps
17. Locally Intermediate Supraglottic Cancer: Supracricoid Laryngectomy with Cricohyoidopexy
17.1 Case Report
17.2 Discussion
17.3 Tips
17.4 Traps
18. Locally Advanced Glottic Cancer: Supracricoid Laryngectomy
18.1 Case Report
18.2 Discussion
18.3 Tips
18.4 Traps
19. Hemicricolaryngectomy with Tracheal Autotransplantation
19.1 Case Report
19.2 Discussion
19.3 Tips
19.4 Traps
20. Locally Advanced Glottic Cancer: Supratracheal Laryngectomy
20.1 Clinical Case 1
20.2 Clinical Case 2
20.3 Discussiong
20.4 Tips
20.5 Traps
21. Locally Advanced Glottic Cancer: Total Laryngectomy and Voice Prostheses
21.1 Case Report
21.2 Discussion
21.3 Tips
21.4 Traps
22. Transoral Robotic Surgical Total Laryngectomy: The Technique Step by Step
22.1 Introduction
22.2 Patients and Methods
22.3 Discussion
22.4 Conclusion
23. Locally Advanced Supraglottic Cancer: Organ-Preservation Protocol
23.1 Case Report
23.2 Discussion
24. Salvage Surgery after Primary Radiotherapy: Transoral Laser Microsurgery
24.1 Case Reports
24.2 Discussion
24.3 Tips
24.4 Traps
25. Salvage Surgery after Radiotherapy: Supracricoid Laryngectomy
25.1 Case Report
25.2 Discussion
25.3 Tips
25.4 Traps
26. Salvage Surgery after Radiotherapy: Total Laryngectomy
26.1 Case Report
26.2 Surgical Technique
26.3 Discussion
26.4 Tips
26.5 Traps
27. Strategy for Avoiding Pharyngocutaneous Fistula: Pectoralis Muscle Flap for Salvage Total Laryngectomy
27.1 Case Report
27.2 Discussion
27.3 Tips
27.4 Traps
28. Reconstruction for Advanced Cancer: Pectoralis Major Myocutaneous Flap
28.1 Introduction
28.2 Surgical Technique
28.3 Primary Indications in the Treatment of Advanced Laryngeal Tumors
28.4 Complications
28.5 Functional Result
28.6 Clinical Cases
29. Reconstruction for Advanced Cancer: Supraclavicular Island Flap
29.1 Case Report
29.2 Discussion
29.3 Tips
29.4 Traps
30. Reconstruction for Advanced Cancer: Latissimus Dorsi Myocutaneous Flap
30.1 Case Report
30.2 Discussiong
30.3 Tips
30.4 Traps
31. Gastric Pull-Up
31.1 History
31.2 Indications
31.3 Contraindications
31.4 Preoperative Preparation
31.5 Operative Steps
31.6 Complications
32. Early Primary Tumor with Advanced Neck Disease
32.1 Introduction
32.2 Case Example
32.3 Presentation Evaluation
32.4 Treatment Options
32.5 Surgery Followed by Directed Adjuvant Therapy
32.6 Concurrent Chemoradiaiton
32.7 Chemoselection
32.8 Salvage Neck Dissection
32.9 Case Conclusion
33. Targeted Therapy for the Treatment of Advanced Squamous Cell Carcinoma of the Larynx
33.1 Introduction
33.2 Case Discussion
33.3 Targeting the Epidermal Growth Factor Receptor in the First-line Setting
33.4 Case Discussion (Continued)
33.5 Targeted Therapy after Failure of Platinum-Based Chemotherapy
33.6 Predictive Biomarkers
33.7 Future Directions
34. Laryngeal Transplantation
34.1 Case Report
34.2 Discussion
34.3 Tips
34.4 Traps