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Sclerosis of the arytenoid cartilage and glottic carcinoma: A clinical‐pathological study
- Source :
- Head & Neck.
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- BACKGROUND Given the relevance of any tumor invasion of the arytenoid cartilage or crico-arytenoid unit to the planning open partial horizontal laryngectomy (OPHL) for laryngeal squamous cell carcinoma (LSCC), it is important to have a reliable radiological test to assess impairments of these structures. METHODS We retrospectively compared the endoscopic, radiological, and pathological findings in patients with glottic LSCC who underwent OPHL. RESULTS The endoscopic finding of a reduced (impaired or absent) vocal cord motility proved more sensitive, with better positive and negative predictive values, but less specific than the radiological finding of complete arytenoid sclerosis in detecting histologically assessable infiltration of the arytenoid cartilage. CONCLUSIONS Endoscopy retains a key role in the preoperative workup for glottic LSCC. CT evidence of complete sclerosis of the arytenoid cartilage is related to a dangerous contiguity of the tumor to the cartilage.
- Subjects :
- Male
medicine.medical_specialty
Cord
Contrast Media
Laryngectomy
Sensitivity and Specificity
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
otorhinolaryngologic diseases
medicine
Humans
In patient
030223 otorhinolaryngology
Laryngeal Neoplasms
Pathological
Retrospective Studies
Sclerosis
Laryngoscopy
medicine.diagnostic_test
business.industry
Cartilage
Arytenoid cartilage
Middle Aged
respiratory system
Endoscopy
medicine.anatomical_structure
Otorhinolaryngology
Glottic cancer
030220 oncology & carcinogenesis
Radiological weapon
Carcinoma, Squamous Cell
Female
Radiology
Tomography, X-Ray Computed
business
Arytenoid Cartilage
Subjects
Details
- ISSN :
- 10970347 and 10433074
- Database :
- OpenAIRE
- Journal :
- Head & Neck
- Accession number :
- edsair.doi.dedup.....a73837b608d51f570ad23ebc3225d7bc