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Post Laryngectomy
Patricia A. Hudgins, MD, FACR
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KEY FACTS

  • Terminology

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Imaging findings following resection of whole or part of larynx, typically for neoplasm
              • Total laryngectomy (TL): Larynx resected, neopharynx created, permanent tracheal stoma
              • Partial laryngectomy (PL): Preserves voice & breathing without permanent tracheostomy
                • Cordectomy, vertical partial laryngectomy (VPL), horizontal supraglottic laryngectomy (SGL), supracricoid laryngectomy (SCL) with cricohyoidopexy (CHP) or cricohyoidoepiglottopexy (CHEP)
                  • "Pexy" indicates surgical fixation of structure
                • Now more often performed as endoscopic transoral laser surgery (TLS) rather than open surgery

          IMAGING

          • General Features

            • CT Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • Staging, Grading, & Classification

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Image Interpretation Pearls

                            • Reporting Tips

                              Selected References

                              1. Takes RP et al: Current trends in initial management of hypopharyngeal cancer: the declining use of open surgery. Head Neck. 34(2):270-81, 2012
                              2. Wen WP et al: Supracricoid partial laryngectomy with cricothyroidopexy: A treatment for anterior vocal commissure laryngeal squamous carcinoma. Head Neck. Epub ahead of print, 2012
                              3. Sánchez-Cuadrado I et al: Oncologic outcomes after supracricoid partial laryngectomy. Otolaryngol Head Neck Surg. 144(6):910-4, 2011
                              4. Luna-Ortiz K et al: Supracricoid partial laryngectomy with cricohyoidoepiglottopexy in patients with radiation therapy failure. World J Surg Oncol. 7:101, 2009
                              5. Silver CE et al: Current trends in initial management of laryngeal cancer: the declining use of open surgery. Eur Arch Otorhinolaryngol. 266(9):1333-52, 2009
                              6. Ferreiro-Argüelles C et al: CT findings after laryngectomy. Radiographics. 28(3):869-82; quiz 914, 2008
                              7. Karasalihoglu AR et al: Supracricoid partial laryngectomy with cricohyoidopexy and cricohyoidoepiglottopexy: functional and oncological results. J Laryngol Otol. 118(9):671-5, 2004
                              8. Lell MM et al: Multiplanar functional imaging of the larynx and hypopharynx with multislice spiral CT. Eur Radiol. 14(12):2198-205, 2004
                              9. Kelsch TA et al: Partial laryngectomy imaging. Semin Ultrasound CT MR. 24(3):147-56, 2003
                              10. Mukherji SK et al: Imaging of the post-treatment larynx. Eur J Radiol. 44(2):108-19, 2002
                              11. Bely-Toueg N et al: Normal laryngeal CT findings after supracricoid partial laryngectomy. AJNR Am J Neuroradiol. 22(10):1872-80, 2001
                              12. Maroldi R et al: CT appearance of the larynx after conservative and radical surgery for carcinomas. Eur Radiol. 7(3):418-31, 1997
                              13. Million RR: The larynx ... so to speak: everything I wanted to know about laryngeal cancer I learned in the last 32 years. Int J Radiat Oncol Biol Phys. 23(4):691-704, 1992
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Top Differential Diagnoses

                                  • Clinical Issues

                                    • Diagnostic Checklist

                                      TERMINOLOGY

                                      • Definitions

                                        • Imaging findings following resection of whole or part of larynx, typically for neoplasm
                                          • Total laryngectomy (TL): Larynx resected, neopharynx created, permanent tracheal stoma
                                          • Partial laryngectomy (PL): Preserves voice & breathing without permanent tracheostomy
                                            • Cordectomy, vertical partial laryngectomy (VPL), horizontal supraglottic laryngectomy (SGL), supracricoid laryngectomy (SCL) with cricohyoidopexy (CHP) or cricohyoidoepiglottopexy (CHEP)
                                              • "Pexy" indicates surgical fixation of structure
                                            • Now more often performed as endoscopic transoral laser surgery (TLS) rather than open surgery

                                      IMAGING

                                      • General Features

                                        • CT Findings

                                          • Imaging Recommendations

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • Staging, Grading, & Classification

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Treatment

                                                      DIAGNOSTIC CHECKLIST

                                                      • Image Interpretation Pearls

                                                        • Reporting Tips

                                                          Selected References

                                                          1. Takes RP et al: Current trends in initial management of hypopharyngeal cancer: the declining use of open surgery. Head Neck. 34(2):270-81, 2012
                                                          2. Wen WP et al: Supracricoid partial laryngectomy with cricothyroidopexy: A treatment for anterior vocal commissure laryngeal squamous carcinoma. Head Neck. Epub ahead of print, 2012
                                                          3. Sánchez-Cuadrado I et al: Oncologic outcomes after supracricoid partial laryngectomy. Otolaryngol Head Neck Surg. 144(6):910-4, 2011
                                                          4. Luna-Ortiz K et al: Supracricoid partial laryngectomy with cricohyoidoepiglottopexy in patients with radiation therapy failure. World J Surg Oncol. 7:101, 2009
                                                          5. Silver CE et al: Current trends in initial management of laryngeal cancer: the declining use of open surgery. Eur Arch Otorhinolaryngol. 266(9):1333-52, 2009
                                                          6. Ferreiro-Argüelles C et al: CT findings after laryngectomy. Radiographics. 28(3):869-82; quiz 914, 2008
                                                          7. Karasalihoglu AR et al: Supracricoid partial laryngectomy with cricohyoidopexy and cricohyoidoepiglottopexy: functional and oncological results. J Laryngol Otol. 118(9):671-5, 2004
                                                          8. Lell MM et al: Multiplanar functional imaging of the larynx and hypopharynx with multislice spiral CT. Eur Radiol. 14(12):2198-205, 2004
                                                          9. Kelsch TA et al: Partial laryngectomy imaging. Semin Ultrasound CT MR. 24(3):147-56, 2003
                                                          10. Mukherji SK et al: Imaging of the post-treatment larynx. Eur J Radiol. 44(2):108-19, 2002
                                                          11. Bely-Toueg N et al: Normal laryngeal CT findings after supracricoid partial laryngectomy. AJNR Am J Neuroradiol. 22(10):1872-80, 2001
                                                          12. Maroldi R et al: CT appearance of the larynx after conservative and radical surgery for carcinomas. Eur Radiol. 7(3):418-31, 1997
                                                          13. Million RR: The larynx ... so to speak: everything I wanted to know about laryngeal cancer I learned in the last 32 years. Int J Radiat Oncol Biol Phys. 23(4):691-704, 1992