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Endoscope‐assisted conservative resection and reconstruction in recurrent subglottic carcinoma
Author(s) -
Joseph Shawn T.,
Tharayil Jose,
Mihir Mohan T.,
Naveen B.S.
Publication year - 2018
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25083
Subject(s) - subglottis , medicine , surgery , cordectomy , swallowing , carcinoma , resection , complication , laryngectomy , larynx , glottis
Abstract Background Very few cases of conservative laryngectomy in recurrent carcinoma of subglottis postradiotherapy have been reported. Technical aspects of conservative resection and reconstruction in subglottic carcinoma have not been well described. Methods Herein, we present a case of recurrent carcinoma of subglottis for which conservative resection with adequate margins was done with endoscope assistance and defect reconstructed by buccal mucosa, conchal cartilage, and temporoparietal free flap. The technique of resection, reconstruction, complications, postoperative outcome, and our suggestions are described. Results The lesion could be removed with wide margins. Reconstruction could preserve the voice, and deglutition was unaffected. There was no donor site‐related complication. Complications were a result of the choice of the stent, which included infection and difficulty in removal. Conclusion Selected cases of recurrent carcinoma of the subglottis can be managed by conservative resection with adequate margins and appropriate reconstruction with good functional outcomes.