By Y. Guerrier (auth.), Professor Dr. Malte Erik Wigand, Priv.-Doz. Dr. med. Wolfgang Steiner, P. M. Stell M.D., F.R.C.S. (eds.)
Cancer of the top and neck is still a problem. expanding occurrence has driven malignancy of the higher aerodigestive tract into the 1st rank of melanoma. In a few international locations it follows bronchial carcinoma in frequency and is extra universal than gastro-intestinal and gynaecological melanoma. This expanding prevalence makes it tough to coach sufficient hugely specialized staffwho also are chargeable for the care of many different sufferers, requiring refined microsurgery of the ear and nostril. The query of caliber is much more tough. Oncological luck within the deal with ment of head and neck melanoma is acquired on the cost of crippling of important services resembling consuming, respiring, voice and sight and additionally of outstanding aesthetic de formity. Mutilation of this hugely practical number of organs is extra keenly felt than that of the other area of the physique. it's important, as a result, that the health practitioner retains up with the new achievements of practical surgical procedure which will provide the simplest ser vice to his sufferers. melanoma of the larynx isn't any exception. regardless of more moderen suggestions of radiotherapy and chemotherapy, surgical procedure nonetheless offers the simplest oncological effects. This calls for a large spectrum of operations various from minimum ablation to overall laryngectomy.
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Extra info for Functional Partial Laryngectomy: Conservation Surgery for Carcinoma of the Larynx
11. Regular screening of populations at risk for oto-rhino-laryngological cancer has been justified by this study; also elimination of chemical carcinogens is desirable. Lack of specialists, time and money cannot be reasons for neglecting these tasks. References Alf61di J, Duchon J (1965) Friihdiagnose des Larynxkrebs mit dem Jodtest nach Schiller. Zeitschrift fur Laryngol Rhinol Otol (Stuttg) 44:71-75 Epstein AA (1952) Organisieren der Friihdiagnose des Krebses. Sovjet ref onk 8: 28-40 Farago L (1966) Uber einen seltenen Fall von maligner Entartung eines kindlichen Larynxpapilloms.
The majority of the well differentiated tumors have a sharp and discrete border that suggests a slow expansion of the tumor mass (Fig. 5). Frequently the more poorly differentiated tumors exhibit an infiltrative margin that suggests more rapid tumor growth as well as inherent qualities of the cytoplasmic membrane that allows this infiltration to occur (Fig. 6). As with malignant tumors in other anatomic sites the presence of a "pushing" margin imparts a slightly more favorable outlook than an "infiltrative" margin.
J. Soerensen called this "wallpapering of the laryngeal defects". In his opinion also tubed flaps, introduced by Ganzer (1917) and Gillies (1920) could be used for laryngeal reconstruction. - Free skin grafts or free mucosa grafts have been hardly used in surgery of laryngeal carcinomas because of the poor chances of healing in and the tendency to shrinkage of the raw areas. In order to ensure a safe excision of the tumor far into healthy tissue and to avoid discrediting partial laryngectomy due to recurrences, J.
Functional Partial Laryngectomy: Conservation Surgery for Carcinoma of the Larynx by Y. Guerrier (auth.), Professor Dr. Malte Erik Wigand, Priv.-Doz. Dr. med. Wolfgang Steiner, P. M. Stell M.D., F.R.C.S. (eds.)