By Y. Guerrier (auth.), Professor Dr. Malte Erik Wigand, Priv.-Doz. Dr. med. Wolfgang Steiner, P. M. Stell M.D., F.R.C.S. (eds.)
Cancer of the pinnacle and neck is still a problem. expanding prevalence has driven malignancy of the higher aerodigestive tract into the 1st rank of melanoma. In a few nations it follows bronchial carcinoma in frequency and is extra universal than gastro-intestinal and gynaecological melanoma. This expanding prevalence makes it tricky to coach adequate hugely specialized staffwho also are liable for the care of many different sufferers, requiring refined microsurgery of the ear and nostril. The query of caliber is much more tough. Oncological luck within the deal with ment of head and neck melanoma is obtained on the fee of crippling of significant features resembling consuming, respiring, voice and sight and moreover of impressive aesthetic de formity. Mutilation of this hugely practical choice of organs is extra keenly felt than that of the other sector of the physique. it is crucial, consequently, that the physician retains up with the hot achievements of sensible surgical procedure on the way to provide the easiest ser vice to his sufferers. melanoma of the larynx isn't any exception. regardless of more moderen options of radiotherapy and chemotherapy, surgical procedure nonetheless provides the simplest oncological effects. This calls for a large spectrum of operations various from minimum ablation to overall laryngectomy.
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Additional resources for Functional Partial Laryngectomy: Conservation Surgery for Carcinoma of the Larynx
While the early detection of cancer would provide an excellent chance of effecting a cure with function-preserving forms of treatment, extensive carcinomas require aggressive combined therapy, which often results in mutilation and early disablement or death. There are various reasons why these tumours are able to grow to an advanced stage before detection, and these may be organ-, tumour-, patient- or physician-related (Steiner 1982 a). A diagnostic work-up oriented only to the presenting symptoms, is far from adequate to achieve any appreciable improvement in the early recognition of cancer.
Operationen. In Allgemeine und spezielle chirurgische Operationslehre, begr. von M. Kirschner, Bd. V. Springer, Berlin, Gottingen, Heidelberg Denecke HJ (1960) Versorgung von Mesopharynxdefekten nach Exstirpation maligner Tumoren dieses Gebietes. Arch klin exp Ohr-Nas-Kehlk-Heilk 176:645 Denecke HJ (1961) Der EinfluB der laryngoplastischen Eingriffe und der Antibiotica auf die Indikation zur Larynxexstirpation. Arch klin exp Ohr-Nas-Kehlk-Heilk 178: 288 DeneckeHJ (1965) Teilresektion des Larynx.
Microlaryngoscopy has improved the possibilities of obtaining representative biopsy specimens and considerably facilitated endolaryngeal surgery. The photographic documen- 28 Fig. 1 Fig. 3 Basics of Diagnosis and Planning of Therapy Fig. 2 Fig. 4 Fig. 1. Localized, keratotic lesion with warty appearance (carcinoma in situ) at the mid-portion of the left vocal cord and amenable to endoscopic excision Fig. 2. Leukoplakia at the mid-portion (moderate dysplasia) and erythroplakia anteriorly (microinvasive carcinoma) of the left vocal cord.
Functional Partial Laryngectomy: Conservation Surgery for Carcinoma of the Larynx by Y. Guerrier (auth.), Professor Dr. Malte Erik Wigand, Priv.-Doz. Dr. med. Wolfgang Steiner, P. M. Stell M.D., F.R.C.S. (eds.)