Endoscopic supraglottic laryngectomy: a proposal for a classification by the working committee on nomenclature, European Laryngological Society
Por:
Remacle, M, Hantzakos, A, Eckel, H, Evrard, AS, Bradley, PJ, Chevalier, D, Djukic, V, de Vincentiis, M, Friedrich, G, Olofsson, J, Peretti, G, Quer, M, Werner, J
Publicada:
1 jul 2009
Resumen:
In July 1999, the European Laryngological Society (ELS) has accepted a proposal for the classification of different laryngeal endoscopic cordectomies. This is actually a common classification system used as a tool for surgical training, documentation and comparison of results. The same harmonization work is deemed necessary for the treatment of supraglottic lesions. The ELS is proposing a classification of the different laryngeal endoscopic supraglottic partial laryngectomies. This classification comprises four types of supraglottic laryngectomies: Type I, limited excision of small size superficial lesions of the free edge of the epiglottis, the ary-epiglottic fold, the arytenoid, or the ventricular fold or any other part of the supraglottis; Type II, medial supraglottic laryngectomy without resection of the pre-epiglottic space, suitable for T1 lesions of either the suprahyoid or the infrahyoid laryngeal surface of the epiglottis (Type IIa, superior hemi-epiglottectomy or Type IIb, total epiglottectomy, respectively); Type III, medial supraglottic laryngectomy with resection of the pre-epiglottic space, suitable for T1-T2 tumors of the infrahyoid endolaryngeal epiglottis without (Type IIIa) or with (Type IIIb) extension to the ventricular fold, necessitating its excision; finally, Type IV, lateral supraglottic laryngectomy, suitable for tumors of the threefolds' region, which may include the ventricular fold (Type IVa) or the arytenoid (Type IVb), when involved. As in the cases of endoscopic cordectomies, these operations are similarly classified according to the surgical approach used and the degree of resection completed in order to facilitate their use in daily clinical practice.
Filiaciones:
Remacle, M:
Univ Hosp Louvain Mont Godinne, Dept Otorhinolaryngol Head & Neck Surg, B-5530 Yvoir, Belgium
Hantzakos, A:
Univ Athens, Hippocrate Gen Hosp, Dept Otorhinolaryngol Head & Neck Surg 1, Athens, Greece
Eckel, H:
Reg Hosp, Dept Otorhinolaryngol Head & Neck Surg, Klagenfurt, Austria
Evrard, AS:
Univ Hosp Louvain Mont Godinne, Dept Otorhinolaryngol Head & Neck Surg, B-5530 Yvoir, Belgium
Bradley, PJ:
Univ Nottingham Hosp, Dept Otorhinolaryngol Head & Neck Surg, Nottingham NG7 2UH, England
Chevalier, D:
Univ Lille, Hosp Claude Huriez, Dept Otorhinolaryngol Head & Neck Surg, Lille, France
Djukic, V:
Univ Belgrade, Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Belgrade, Serbia
de Vincentiis, M:
Univ Rome, Hosp La Sapienza, Dept Otorhinolaryngol Head & Neck Surg, Rome, Italy
Friedrich, G:
Univ Hosp Graz, Dept Otorhinolaryngol Head & Neck Surg, Graz, Austria
Olofsson, J:
Bergen Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Bergen, Norway
Peretti, G:
Univ Hosp Brescia, Dept Otorhinolaryngol Head & Neck Surg, Brescia, Italy
Quer, M:
Hosp Santa Creu & Sant Pau, Dept Otorhinolaryngol Head & Neck Surg, Barcelona, Spain
Werner, J:
Univ Hosp Marburg, Dept Otorhinolaryngol Head & Neck Surg, Marburg, Germany
Open Access
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