Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-22T23:47:34.006Z Has data issue: false hasContentIssue false
  • English
  • Français

Three-dimensional computed tomography analysis of neoglottis after supracricoid laryngectomy with cricohyoidoepiglottopexy

Published online by Cambridge University Press:  28 October 2011

Y Seino ,
M Nakayama ,
M Okamoto  and
S Hayashi
Y Seino*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
M Nakayama
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
M Okamoto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
S Hayashi
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
*
Address for correspondence: Dr Yutomo Seino, Department of Otorhinolaryngology-HNS, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 252-0374, Japan Fax: +81 42 778 8441 E-mail: yutomo.s@kitasato-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Supracricoid laryngectomy with cricohyoidoepiglottopexy is an organ-preserving procedure used to treat laryngeal cancer. However, the post-operative neoglottis tends to be variable in form and difficult to predict.

Methods:

We retrospectively analysed three-dimensional images reconstructed from multidetector-row computed tomography data for 21 patients, assessing arytenoid motion and minimum neoglottic gap cross-sectional area.

Results:

While mean transverse and coronal motion was similar for bilateral and unilateral arytenoids, movement along the sagittal axis was greater for unilateral than bilateral arytenoids. The neoglottic gap during respiration was wider in patients with bilateral arytenoids, but both groups had a similar neoglottic gap during phonation.

Conclusion:

Anterior shifting of the unilateral arytenoid plays an important role in compensating for the inability to achieve neoglottic closure. These two results demonstrate that the unilateral arytenoid alone is capable of achieving sufficient neoglottic narrowing to compensate for the resected arytenoid. Three-dimensional analysis was useful to evaluate the physiological status of the neoglottis after supracricoid laryngectomy with cricohyoidoepiglottopexy.

Keywords

LaryngectomyVoiceComputer Assisted Three-Dimensional ImagingLaryngeal CartilagesArytenoid Cartilage
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 4 , April 2012 , pp. 385 - 390
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Majer, EH, Rieder, W. Technique of laryngectomy permitting the conservation of respiratory permeability (cricohyoidopexy) [in French]. Ann Otolaryngol Chir Cervicofac 1959;76:677–83Google Scholar
2Laccourreye, H, Laccourreye, O, Weinstein, G, Menard, M, Brasnu, D. Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol 1990;99:421–6CrossRefGoogle ScholarPubMed
3Nakayama, M, Seino, Y, Hayashi, S, Miyamoto, S, Takeda, M, Masaki, T et al. Clinical review of supracricoid laryngectomy with CHEP and CHP: 50 patients treated in 11 years [in Japanese]. Nippon Jibiinkoka Gakkai Kaiho 2009;112:540–9CrossRefGoogle Scholar
4Nakayama, M, Okamoto, M, Miyamoto, S, Takeda, M, Yokobori, S, Masaki, T et al. Supracricoid laryngectomy with cricohyoidoepiglotto-pexy or cricohyoido-pexy: experience on 32 patients. Auris Nasus Larynx 2008;35:77–82Google Scholar
5Saito, K, Kimura, M, Imagawa, H, Nito, T, Tayama, N, Shiotani, A. High-speed digital imaging of the neoglottis after supracricoid laryngectomy with cricohyoidoepiglottopexy. Otolaryngol Head Neck Surg 2010;142:598–604Google Scholar
6Hayashi, S, Hirose, H, Tayama, N, Imagawa, H, Nakayama, M, Seino, Y et al. High-speed digital imaging laryngoscopy of the neoglottis following supracricoid laryngectomy with cricohyoidoepiglottopexy. J Laryngol Otol 2010;124:1234–8Google Scholar
7Seino, Y, Nakayama, M, Okamoto, M, Hayashi, S. Computer-based analysis with three-dimensional imaging constructed from fine-slice CT scan in supracricoid laryngectomy with cricohyoidoepiglottopexy: a report of two cases. J Laryngol Otol 2011;27:1–5Google Scholar
8Nakayama, M, Hirose, H, Okamoto, M, Miyamoto, S, Yokobori, S, Takeda, M et al. Electromyography of the cricoarytenoid unit during supracricoid laryngectomy with a cricohyoidoepiglottopexy procedure. J Laryngol Otol 2007;121:87–91CrossRefGoogle ScholarPubMed
9Weinstein, GS, Laccourreye, O, Ruiz, C, Dooley, P, Chalian, A, Mirza, N. Larynx preservation with supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Correlation of videostroboscopic findings and voice parameters. Ann Otol Rhinol Laryngol 2002;111:1–7Google Scholar
10Makeieff, M, Giovanni, A, Guerrier, B. Laryngostroboscopic evaluation after supracricoid partial laryngectomy. J Voice 2007;21:508–15Google Scholar
11Granqvist, S, Lindestad, PA. A method of applying Fourier analysis to high-speed laryngoscopy. J Acoust Soc Am 2001;110:3193–7CrossRefGoogle ScholarPubMed
12Bruno, E, Napolitano, B, Sciuto, F, Giordani, E, Garaci, FG, Floris, R et al. Variations of neck structures after supracricoid partial laryngectomy: a multislice computed tomography evaluation. ORL J Otorhinolaryngol Relat Spec 2007;69:265–70CrossRefGoogle ScholarPubMed
13Yüce, I, Cağli, S, Bayram, A, Karasu, F, Sati, I, Güney, E. The effect of arytenoid resection on functional results of cricohyoidopexy. Otolaryngol Head Neck Surg 2009;141:272–5CrossRefGoogle ScholarPubMed