Current concepts in partial laryngectomy (Open & Endoscopic approaches)
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Partial Laryngectomies play a pivotal role in addressing case selection in laryngeal cancer while preserving vital functions. Historically, open approaches encompass well-known techniques such as Subtotal Laryngectomy, Supracricoid Laryngectomy, and Vertical Partial Laryngectomy. However, over the last four decades, there has been a transition towards an increased use of endoscopic approaches like Transoral Laser Microsurgery (TLM), Transoral Robotic Surgery (TORS), and Endoscopic Laser Resection. This shift is conceptually supported by the advantages of minimally invasive techniques, considering their precision, reduced postoperative complications, and the evolving role of robotic assistance.
However, there are multiple reasons that need to be considered before choosing between an Open or Endoscopic approach, such as tumor characteristics, patient anatomy, and surgeon expertise. It is also relevant to understand the main points about postoperative care and rehabilitation, emphasizing multidisciplinary collaboration, speech therapy, and patient support. These factors make it mandatory to synthesize key insights from both techniques, offering a comprehensive understanding of the dynamic interplay between surgical precision, functional preservation, and future possibilities.
Moderator: Dr. Carlos Chiesa-Estomba. Consultant at Donostia University Hospital & Policlinica Guipuzkoa; Professor in Otorhinolaryngology at Deusto University Medicine School; Scientific Researcher at Biodonostia Research Institute, Donostia, Spain
- Dr. Marco Ferrari. Assistant Professor. Section of Otorhinolaryngology – Head and Neck Surgery. Department of Neurosciences, University of Padua “Azienda Ospedale Università di Padova”, Italy
- Prof. Fernando López Álvarez. Professor of Otorhinolaryngology. University of Oviedo ENT and Head and Neck Department. Hospital Universitario Central de Asturias (Oviedo), Spain
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