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  • Endoscopic Surgery For Cancer Larynx

    Загружено:

    Mahmoud Ahmed Mahmoud
    18 просмотров11 страниц
    Surgical Procedure: General anesthesia. Direct visualization of the tumor. CO2 laser division of tumor. Tumor is removed piece by piece. Advantages: Minimal loss of healthy tissue. Avoidance of tracheostomy. No external incisions. Early swallowing post-operatively.

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    Оригинальное название

    Endoscopic Surgery for Cancer Larynx

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    Surgical Procedure: General anesthesia. Direct visualization of the tumor. CO2 laser division of tumor. Tumor is removed piece by piece. Advantages: Minimal loss of healthy tissue. Avoidance of tracheostomy. No external incisions. Early swallowing post-operatively.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    18 просмотров11 страниц

    Endoscopic Surgery For Cancer Larynx

    Загружено:

    Mahmoud Ahmed Mahmoud
    Surgical Procedure: General anesthesia. Direct visualization of the tumor. CO2 laser division of tumor. Tumor is removed piece by piece. Advantages: Minimal loss of healthy tissue. Avoidance of tracheostomy. No external incisions. Early swallowing post-operatively.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 11

    ENDOSCOPIC SURGERY

    Dr. MAHMOUD AHMED

    Alexandria Faculty of Medicine

    MANAGEMENT

    Management Options:
    Primary Tumor:

    Surgery:
    o o o o o Cordectomy. Supraglottic Laryngectomy. Hemilaryngectomy. Near-total Laryngectomy. Total Laryngectomy.

    Regional Control. Distant Control. Palliation. Rehabilitation.

    Radiotherapy. Chemotherapy:
    o Cisplatin + 5-Fluorouracil.

    Combination.

    STAGING

    Stage Grouping:
    Stage 0 Stage I Stage II Stage III Tis T1 T2 T3 T1-3 N0 N0 N0 N0 N1 M0 M0 M0 M0 M0

    Early stage

    T4a
    Stage IVA T1-4a T4b Stage IVB Stage IVC any T any T

    N0-1
    N2 any N N3 any N

    M0
    M0 M0 M0 M1

    Advanced stage

    TRANSORAL LASER MICROSURGERY

    Indication:
    Carcinoma in situ & microinvasive carcinoma. Glottic carcinomas. Supraglottic carcinomas. Vestibular fold carcinoma.

    Surgical Procedure:
    General anesthesia. Direct visualization of the tumor. CO2 laser division of tumor. Tumor is removed piece by piece.

    Advantages:
    Minimal loss of healthy tissue. Avoidance of tracheostomy. No external incisions. Early swallowing post-operatively. All other therapy methods are still available.

    Disadvantages:
    Large tumors. Extensive endoscopic resections higher risk of postoperative aspiration.

    Thank You

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