Current Practice and Future Perspectives in Laryngeal Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 20 August 2024 | Viewed by 551

Special Issue Editor


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Guest Editor
Department of Health Science, Otolaryngology, University of Catanzaro, 88100 Catanzaro, Italy
Interests: laryngeal disorders; laryngeal surgery; microsurgery; endoscopic surgery; open surgery; laser surgery
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Special Issue Information

Dear Colleagues,

Laryngeal surgery is a specialized field of surgery that deals with the diagnosis and treatment of laryngeal disorders. The current practice of laryngeal surgery involves a multidisciplinary approach that includes otolaryngologists, speech-language pathologists, and anesthesiologists. The most common indications for laryngeal surgery are vocal fold nodules, polyps, and cysts, benign and malignant lesions of the larynx, and airway obstruction due to various causes.

The current surgical techniques used in laryngeal surgery include microsurgery, endoscopic surgery, open surgery, and laser surgery. Microsurgery is a minimally invasive technique that uses specialized instruments and magnification to visualize and manipulate the laryngeal structures. Endoscopic surgery involves the use of a flexible or rigid endoscope to access the larynx through the mouth or nose. Open surgery involves making an incision in the neck to access the larynx directly. Laser surgery is a newer technique that uses a laser to vaporize or cut the laryngeal tissues.

In conclusion, laryngeal surgery is an important field of clinical medicine that continues to evolve with ongoing research and technological advancements. Current practice involves a multidisciplinary approach and the use of various surgical techniques, while future perspectives hold promise for further improvements in surgical outcomes and the understanding and management of laryngeal disorders.

Prof. Dr. Eugenia Allegra
Guest Editor

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Keywords

  • laryngeal disorders
  • laryngeal surgery
  • microsurgery
  • endoscopic surgery
  • open surgery
  • laser surgery

Published Papers (1 paper)

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Research

9 pages, 215 KiB  
Article
Long-Term Complications of Tracheoesophageal Voice Prosthesis
by Maria Rita Bianco, Vincenzo Saita, Federico Occhiuzzi, Domenico Michele Modica, Daniele Latella, Alfio Azzolina, Mario Galfano and Eugenia Allegra
J. Clin. Med. 2024, 13(7), 1912; https://doi.org/10.3390/jcm13071912 - 26 Mar 2024
Viewed by 451
Abstract
Background: The aim of our multicenter retrospective study was to evaluate the long-term complications associated with primary and secondary tracheoesophageal puncture (TEP) in patients who underwent total laryngectomy (TL) for laryngeal cancer and were subsequently rehabilitated to phonatory function with tracheoesophageal speech [...] Read more.
Background: The aim of our multicenter retrospective study was to evaluate the long-term complications associated with primary and secondary tracheoesophageal puncture (TEP) in patients who underwent total laryngectomy (TL) for laryngeal cancer and were subsequently rehabilitated to phonatory function with tracheoesophageal speech (TES). Materials and Methods: To evaluate the long-term outcomes and complications of TEP, the following data were collected: mean time of prosthesis replacement, mean time of onset of complications, type of complications, and type of failure. Results: Complications occurred in 18 out of 46 patients (39.2%) with primary TEP and in 10 out of 30 patients (33.4%) with secondary TEP, out of a total of 76 enrolled patients. Common complications included prosthesis leakage, fistula leakage, granulation, and prosthesis extrusion. Prosthesis replacement due to fistula leakage or prosthesis extrusion was observed exclusively in the group of patients with primary TEP. Among the 28 patients (35.7%) who experienced complications, rehabilitation with TEP failed in 10 cases, primarily due to abandonment and spontaneous fistula closure. Conclusions: TEP, both primary and secondary, represents a valid option for vocal rehabilitation in patients undergoing TL. However, identifying prognostic factors that could influence the success of TEP would be beneficial to allow a targeted rehabilitation process. Full article
(This article belongs to the Special Issue Current Practice and Future Perspectives in Laryngeal Surgery)
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