Objective: Analyze salvage total laryngectomy as treatment in recurrence after organ preserving strategy (QRT/RT), determine recurrence rates, survival and predictive factors. Study design: Retrospective charts review. Materials and methods: Salvage total laryngectomy patients, from 2005 to 2017. Univariate analysis with T Student, Mann Whitney, survival estimates with Kaplan-Meier method and Cox proportional h...
Case report of a 62-year-old male patient who visited an Otolaryngologist due to a painless, slow-growing lateral cervical mass for 4 years. The patient had already undergone imaging tests that showed only 4 unilateral calcified adenopathies, without any suggestion of a potential primary tumor. On observation, in addition to hard, non-adherent adenopathies, there were no further findings. In the absence of a pr...
Scope: Approximately 90% of head-neck carcinomas are squamous cell carcinomas (HNSCC), that includes the oral cavity, nasopharynx, larynx, hypopharynx and oropharynx. It is a disease with a complex etiology with the alcohol and tobacco consumption being the main risk factors. In last decade, there has been an increase in incidence of oropharyngeal carcinoma (OPSCC), that includes tumors of the amygdala and the ...
Introduction: The nasal tumors are classically addressed by external but, recently, also endoscopically. However, in locally advanced tumors, it may not be possible to achieve complete removal.Material and methods: We analyzed the medical records of 14 patients with nasal fossa tumor removed endoscopically in IPOLFG between 2005 and 2012.Results: Of the 14 patients, 8 had malignant tumor and 5 benign. There was...
Introduction: The reconstruction of surgical defects after tumor resection in head and neck oncological surgery uses various techniques, which should preferably be performed at the same time. At the top of the so-called “Reconstructive ladder” are the Microvascular free flaps. Usually performed by plastic surgeons, any obstacle to their access should not preclude other surgeons, working in the field of head and...
Introduction: Radiotherapy and chemotherapy are treatment strategies for head and neck oncologic patients. In many cases they are the first line treatment, especially in locally advanced disease. Neck dissection would be done if the disease persisted after chemoradiotherapy. Controversy lies on the N2/N3 cases with total response due to difficult clinical, imagiological and histological evaluation. The sistemat...
Objective: The horizontal supraglottic laryngectomy (HSL) is an oncologic surgical technique that allows preservation of laryngeal functions of speech and swallowing with airway protection, but with adequate capacity for tumor excision. The objective of this study is to review a series of patients submitted to HSL.Methods: Retrospective study of HSL carried out in the Department of Otolaryngology of the IPOLFG ...
For selected glottic and supraglottic cancers it is possible to perform conservation laryngeal surgery with supracricoid partial laryngectomy (SCLP). Depending on the extension of surgical resection achieved reconstruction can be done by cricohyoidopexy (CHP) or Cricohyoidoepiglottopexy (CHEP). The possibility of speech preservation without a permanent stoma is an advantage in successful reconstructions, howeve...
Basocellular carcinoma (BCC) is a relatively common skin malignancy. Since its etiopathogenesis is related to prolonged sun exposure, the external nose and the auricular region are potential risk areas, a reason why ENT specialists should be familiar with this entity.The authors present the case of a recurring auricular BCC with invasion of external auditory canal, submitted to a lateral temporal bane resection...
.; .