Ist European Laryngological Live Surgery Broadcast

Ist European Laryngological
Live Surgery Broadcast

2nd December 2015 | 9.00 - 16.00 CET

Case

Prof. Małgorzata Wierzbicka

Department of Otolaryngology and Laryngological Oncology

Poznań, University of Medical Sciences

Male

66 years old, heavy smoker - 30 cigarettes per day for 25 years

Occupation: painter

Co-morbidities: hypertension, ischaemic heart disease, peripheral arterial disease,

Sympthoms: Dysphonia for 18 months, Hoarseness for 12 months

History:

2014 - 3 times the microlaryngoscopy with biopsy: neoplasm was not confirmed in the histopathology

2015/05: the microlaryngoscopy : chronic laryngitis, dysplasia planoeptheliali, hyperplasia.

2015/11: Histopathology 595886/2015: Squamous cell carcinoma G1 and G2

Diagnosis: Laryngeal Cancer - T4N0M0

Surgical decision: OPHL-Open Partial Horizontal Laryngectomy type IIa

Part 1 Part 2 Part 3 Part 4 Part 5 Part 6 Part 7 Part 8

ENT examination at presentation: an exophytic, bulky, whitish tumor with the infiltration of the AC, spreading on the both vocal folds, penetrating down to the subglottic area, upwards to the ventricle. Fixation of the right vocal fold.

VIDEOSTROBOSCOPY

CT scan 30.11.2015: tumor mass of the right vocal and vestibular folds, circumferential spread to the left side of the glottis, involving of the left fold,crawling under the subglottic region. Single remarkable features of the cartilage involvement.

Back