6.6.11: 11. Surgical Options for Supraglottic Cancer
- Page ID
- 18371
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As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function
Surgical options include:
- Transoral endoscopic microsurgery (cold steel) or extended Bovie via Lindholm
- Transoral microscopic CO2 laser surgery
- Suprahyoid approach and resection (page 9): May be considered to access and resect T1 tumours of suprahyoid epiglottis or arytenoid or aryepiglottic fold
- Supraglottic laryngectomy (Requires swallowing therapy expertise)
- Supracricoid laryngectomy (Requires swallowing therapy expertise)
- Total laryngectomy
- Partial pharyngectomy (may require flap reconstruction)
Type of surgery depends on
- Tumour factors
- Site
- Cartilage invasion
- Stage
- Involvement of arytenoid complex
- Prior therapy
- Radiation
- Partial laryngectomy
- Patient factors
- Pulmonary status (tolerate aspiration)
- Cognitive status (To work with Speech and Language Therapist)
- Institutional support
- Surgical expertise
- Availability of CO2 laser / transoral microsurgery
- Speech and swallowing support
- Tracheo-oesophageal speaking valves