6.5.15: 15. Anterior Commissure
- Page ID
- 18358
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- More likely to invade thyroid cartilage
- Proximity
- Broyle’s ligament
- Beware subglottic extension through cricothyroid membrane
- Imaging advisable if considering CO2 laser or RT, except for small tumours
- Treatment options
- CO2 laser / transoral microsurgery
- Radiotherapy: Adapt technique to cover anterior commissure
- Vertical partial laryngectomy (Frontolateral)
- Supracricoid laryngectomy
- Total laryngectomy (extralaryngeal extension)