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• W3112804516 abstract "Open partial horizontal laryngectomies (OPHLs) nowadays represent the first line surgical choice for the conservative treatment of locally intermediate and selected advanced stage laryngeal cancers. Among the peculiarities of OPHLs, there is the possibility of intraoperatively modulating the procedure. It would be useful for the surgeon to recognise preoperative endoscopic and radiological factors that can predict the possibility to modulate the laryngectomy.The present study retrospectively reviewed a cohort of 72 patients who underwent OPHL for glottic LSCC, in order to identify preoperative (endoscopic and radiological) parameters that are able to predict modulation surgery.The hypoglottic extension of the glottic tumour was the preoperative finding that was most informative in predicting OPHL modulation. However, it had no significant impact on oncological outcomes.Patients affected by tumours with hypoglottic extension and eligible for OPHL type II should be preoperatively informed about the possibility of an intraoperative switch towards OPHL type III.OPHL modulare: esistono parametri predittivi preoperatori?La laringectomia parziale orizzontale open (OPHL) rappresenta al giorno d’oggi la scelta chirurgica di prima linea per il trattamento conservativo del carcinoma squamoso laringeo (LSCC) in stadio intermedio e di selezionati casi in stadio localmente avanzato. Fra le peculiarità della OPHL c’è la possibilità di modulare intraoperatoriamente la procedura. Sarebbe utile al chirurgo riconoscere parametri preoperatori endoscopici e/o radiologici che possano predire la possibilità di modulare intraoperatoriamente la laringectomia.Il presente studio ha considerato retrospettivamente una popolazione di 72 pazienti sottoposti ad OPHL per LSCC, al fine di identificare parametri preoperatori (endoscopici e radiologici) in grado di predire la modulabilità della OPHL.L’estensione ipoglottica del tumore è risultata essere il parametro preoperatorio più informativo nel predire la modulazione della OPHL. Tale condizione, tuttavia, non impattava in maniera significativo sull’outcome oncologico.I pazienti affetti da tumori con estensione ipoglottica e candidabili ad OPHL tipo II dovrebbero essere informati preoperatoriamente sulla possibilità di uno switch intraoperatorio verso una OPHL tipo III." @default.
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• W3112804516 date "2020-10-01" @default.
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• W3112804516 title "Modular approach in OPHL: are there preoperative predictors?" @default.
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• W3112804516 doi "https://doi.org/10.14639/0392-100x-n0782" @default.
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