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Current Practice and Future Perspectives in Laryngeal Surgery
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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 1168

Special Issue Editor

Prof. Dr. Eugenia Allegra

E-Mail Website
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
Special Issues, Collections and Topics in MDPI journals

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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

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

Published Papers (2 papers)

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Research

11 pages, 2467 KiB  
Article
Surgical and Functional Outcomes of Posterior Cordotomy and Partial Arytenoidectomy with CO2 LASER in the Treatment of Bilateral Vocal Cord Immobility: A Single Institution Experience
by Virginia Fancello, Andrea Migliorelli, Isotta Campomagnani, Federica Morolli, Francesco Stomeo, Andrea Ricci-Maccarini, Massimo Magnani and Marco Stacchini
J. Clin. Med. 2024, 13(13), 3670; https://doi.org/10.3390/jcm13133670 - 24 Jun 2024
Viewed by 399
Abstract
Background/Objectives: The purpose of this study is to investigate surgical and functional outcomes of patients affected by bilateral vocal cord immobility (BVCI) and treated with posterior cordotomy and partial arytenoidectomy. Methods: We performed a retrospective analysis on pre- and postoperative findings [...] Read more.
Background/Objectives: The purpose of this study is to investigate surgical and functional outcomes of patients affected by bilateral vocal cord immobility (BVCI) and treated with posterior cordotomy and partial arytenoidectomy. Methods: We performed a retrospective analysis on pre- and postoperative findings on a series of 27 patients affected by BVCI and treated with posterior cordotomy and partial arytenoidectomy from January 2017 to January 2022. Perceptual voice evaluations were performed using the GRBAS scale. The patients were requested to estimate the level of voice handicap experienced in their life using the Italian version of Voice Handicap Index 10 (VHI 10) questionnaire, while swallowing difficulties were self-evaluated through the Italian version of the Eating Assessment Tool (EAT-10) questionnaire. Results: Respiratory distress was evaluated according to the American Medical Research Council Dyspnoea Scale (MRC_DS) before and 1 year after the surgery. The mean of the preoperative values was 3.86 (±0.4), while 1 year after the procedure, we witnessed a significant (p ≤ 0.001) improvement, with a mean value of 1.09 (±0.9). After surgery, an overall worsening in voice quality was perceived, with a worsening in the GRBAS score. In contrast, the VHI10 does not show a statistically significant worsening. EAT 10 did not demonstrated worse scores after the surgery; rather, it showed a trend of improvement (preoperative EAT10 5.5 ± 5.8, postoperative 3.3 ± 2.9, p = 0.064). Conclusions: According to our results, posterior cordotomy plus partial arytenoidectomy is an effective procedure that provides stable and rapid respiratory improvement whilst preserving swallowing and the self-perception of voice quality. Full article
(This article belongs to the Special Issue Current Practice and Future Perspectives in Laryngeal Surgery)
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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 609
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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