Organ preservation surgery for low‐ and intermediate‐grade laryngeal chondrosarcomas: Analysis of 16 cases

• DOI: 10.1002/lary.24416
• Publication Date: 2013-10-12T01:48:41Z
• Authors: Cesare Piazza; Francesca Del Bon; Paola Grazioli; Stefano Mangili; Diego Barbieri; Piero Nicolai; Giorgio Peretti
• Keywords: Thyroid cartilage; Tracheotomy; Cricoid cartilage

Objectives/Hypothesis To demonstrate that endoscopic resection (ER), open partial laryngectomies, and cricotracheal anastomosis (CTRA) achieve a good balance between oncologic radicality organ preservation for laryngeal low‐grade chondrosarcoma (LCS) intermediate‐grade (ICS). Study Design Retrospective series in an academic institution. Methods Between 2001 2013, we treated 13 cricoid, two thyroid, one arytenoid LCS ICS. Two cricoid the only were managed by ER. thyroid ala submitted to laminectomy. Five ICS six of received CTRA. Results Nine patients required tracheotomy, removed after maximum 14 days. Three nasogastric feeding tube, 8 Immediate complications included bleeding, cervical emphysema, anastomotic dehiscence. The late complication was stenosis resolved laser resection. All regained regular oral voice ranging from normal moderate dysphonia. At last follow‐up, died unrelated causes, seven are alive with asymptomatic radiologically stable residual disease, without evidence persistent disease. One patient total laryngectomy 11 years CTRA recurrent symptomatic Conclusions Organ surgery represents treatment option low morbidity, quality life, fair possibility obtain radicality. Level Evidence 4. Laryngoscope , 124:907–912, 2014