Functional Partial Laryngectomy

A. Introduction into Conservation Surgery of the Larynx.- Anatomy of the Larynx with Reference to Functional Cancer Surgery.- Histology of Laryngeal Carcinoma — Past and Present. A Historical Review.- Historical Development of Reconstructive Surgery in Laryngeal Carcinoma.- B. Basics of Diagnosis and Planning of Therapy.- I. Clinical Diagnosis of Laryngeal Carcinoma.- Clinical Diagnosis of Laryngeal Carcinoma.- Microlaryngoscopy.- II. Diagnostic Techniques of Clinical Pathology.- Histopathology of Early Laryngeal Carcinoma.- Histologic Grading — Early Lesions.- III. Early Detection of Cancer in the Upper Aero-Digestive Tract: Mass Screening.- Experiences with Screening of Oto-Rhino-Laryngological Cancer in Hungary.- Laryngological Screening of Industrial Workers (Galvanizers, Spray Painters, Enamellers).- Prevention and Early Detection of Cancer of the Upper Aerodigestive Tract. Results of Endoscopic Mass Screening.- Screening for Upper Respiratory Tract Cancer. Sputum Cytologic Diagnosis.- Endoscopic Screening for Multiple Squamous Cell Carcinoma of the Upper Digestive and Respiratory Tracts (Oncologically Oriented Upper Aero-Digestive Pan-Endoscopy).- IV. Radiological Diagnosis.- Radiology of the Larynx.- The Value of Computerized Tomography in Conservative Surgery of Glottic Cancer.- Computed Tomography in the Diagnosis of Laryngeal Carcinoma.- V. Clinical and Histological Staging.- The Systems of UICC and AJC for Staging of Laryngeal Carcinomas.- What is the Glottis?.- Staging of Laryngeal Carcinoma.- The TNM-Classification with Regard to Surgical Planning of Partial Resections of the Larynx.- Correlation Between Clinical and Histological Staging in Laryngeal Cancer.- C. Vertical Partial Resection of the Larynx.- I. Surgical Techniques and Modifications of Vertical Partial Laryngectomy.- History, Indications and Techniques of Vertical Partial Laryngectomy.- The Role of Laryngoplasty in Vertical Partial Laryngectomies.- Selection of Treatment for In Situ and Early Invasive Carcinoma of the Glottis: Surgical Techniques and Modifications.- Partial Glottic Laryngectomy (Moser’s Modification).- Experiences with Vertical Partial Laryngectomy with Special Reference to Laryngeal Reconstruction by Sternohyoid Fascia.- The Use of Cervical Fascia After Vertical Resection of the Larynx.- A Vascular Pedicled Flap of the Thyroid Gland and Its Application in Vertical Partial Laryngectomy.- Extended Frontolateral Partial Laryngectomy.- Vascular Pedicle Flap of the Thyroid Gland in the So-Called 3/4-Laiyngectomy.- Surgical Technique in Frontolateral Laryngectomy and Cordectomy.- Transoral Microsurgical CO2-Laser Resection of Laryngeal Carcinoma.- II. Posttherapeutic Histology and Microstaging in Vertical Partial Laryngectomy.- Vertical Partial Resections of the Larynx — Posttherapeutic Histology, Microstaging.- Glottic Carcinoma — with Special Reference to Tumors Involving the Anterior — Commissure and Subglottis. Posttherapeutic Histology.- Histomorphological Behaviour of the Tumour Growth in the Glottic Region.- Posttherapeutic Histopathology of Laryngeal Carcinoma.- Squamous Cell Carcinomas of the Anterior Wall of the Larynx 140.- III. Oncological and Functional Results as the Basis of Surgical Indications.- Vertical Partial Laryngectomy — Results.- Indications for Surgery or Radiotherapy for Glottic Cancer and Their Oncological Results.- Phonatory Function Following Unilateral Laser Cordectomy.- Oncological and Functional Results After Vertical Partial Laryngectomy.- Laryngofissure and Partial Vertical Laryngectomy for Early Cordal Carcinoma: Outcome in 182 Patients.- Vertical Partial Resection. Oncological and Functional Results.- Endoscopic Therapy of Early Laryngeal Cancer. Indications and Results.- Oncological Results of Vertical Partial Laryngectomy.- Indications for Moser’s Glottic Partial Resection.- Voice and Respiration Before and After Partial Laryngeal Resections.- D. Horizontal Partial Resection of the Larynx.- I. Surgical Techniques and Modifications.- Horizontal Partial Laryngectomy. Historical Review and Personal Technique.- Horizontal Supraglottic Laryngectomy: Surgical Technique.- My Personal Surgical Technique of Supraglottic Horizontal Laryngectomy.- Conservation Surgery for Supraglottic Carcinoma.- Horizontal Glottic Laryngectomy (Horizontal Glottectomy): Surgical Technique.- Modifications of Supraglottic Resection of the Larynx.- Vascular Pedicle Flap of the Thyroid Gland in Horizontal Supraglottic Laryngectomy.- Three Quarters Laryngectomy.- II. Posttherapeutic Histology and Microstaging in Horizontal Partial Laryngectomy.- Horizontal Partial Resections of the Larynx. Posttherapeutic Histology and Microstaging.- Supraglottic Carcinoma — Posttherapeutic Histology.- Histological Examination of the Excised Specimen After Supraglottic Laryngectomy.- III. Oncological and Functional Results of Horizontal Partial Resections as the Basis of Surgical Indications.- Horizontal Supraglottic Laryngectomy: Results.- Results of Supraglottic Horizontal Laryngectomy.- Oncological and Functional Results of Horizontal Partial Laryngectomy.- Horizontal Glottectomy: Results.- Phonatory Function of the Larynx Following Partial Laryngectomy.- Oncological Results of Supraglottic Horizontal Partial Laryngectomy (Alonso Operation).- Oncological Results of Horizontal Partial Laryngectomy.- Horizontal Supraglottic Laryngectomy with Total Glossectomy — Oncological and Functional Results.- Cineradiographic and Manometric Measurements of Deglutition Following Horizontal Partial Laryngectomy.- E. Surgical Management of the Lymphatic System.- Why Perform a Functional Neck Dissection?.- Surgical Treatment of the Cervical Lymph Node System in Laryngeal Carcinoma.- Surgical Management of the Lymphatic System with Regard to Supraglottic Resections of the Larynx.- F. Radiotherapy and Chemotherapy.- Sequential Chemotherapy and Radiotherapy in Advanced Head and Neck Cancer.- Combined Radiation Therapy and Surgery for Limited Carcinoma of the Larynx.- Vertical and Horizontal Partial Resections of the Larynx After Radiotherapy.- Radiotherapy and Partial Laryngectomy.- Radiotherapy and Partial Supraglottic Resection.- Aspects of Adjuvant Chemotherapy in Combination with Horizontal Partial Laryngectomy.- G. Postoperative Course After Vertical and Horizontal Partial Laryngectomy.- I. Complications After Partial Resections of the Larynx.- Postoperative Care After Partial Resections of the Larynx.- Early and Late Complications After Laryngofissure or Vertical Partial Laryngectomy.- Early and Late Complications After Partial Resections of the Larynx.- Early and Late Complications After Supraglottic Partial Resection of the Larynx.- Functional Complications After Supraglottic Laryngectomy.- Late Complications and Recurrences After Partial Resections of the Larynx.- II. Early Detection and Management of Recurrences.- Follow-up Examination After Partial Laryngectomy. Early Detection of Recurrences.- Early Detection of Recurrent Tumours After Previous Treatment of Laryngeal Carcinomas.- Early Detection and Management of Recurrences After Vertical Partial Laryngectomy.- Early Detection and Management of Recurrences After Vertical Partial Laryngectomy.- Treatment of Recurrences After Supraglottic Horizontal Laryngectomy (S.H.L.).- H. Final Synopsis of Conservating Surgery for Carcinoma of the Larynx.- Resumé of the Course on Conservation Surgery for Carcinoma of the Larynx, Erlangen 1982.