1.
Discuss the lymphatic drainage of the larynx and its relevance to the treatment of larynx cancers.
2.
Define the paraglottic space and it’s role in laryngeal cancer spread.
3.
Refresh us on the staging of glottic and supraglottic carcinoma.
4.
Discuss endoscopic laser excision in recurrent glottic cancer.
Reference(s):
Ansarin, M., Planicka, M., Rotundo, S., Santoro, L., Zurlo, V., Maffini, F., … Chiesa, F. (2007). Endoscopic carbon dioxide laser surgery for glottic cancer recurrence after radiotherapy: oncological results. Archives of Otolaryngology–Head & Neck Surgery, 133(12), 1193–1197.
5.
What are the treatment options for supraglottic cancers?
6.
Discuss patient selection for open supraglottic laryngectomy.
7.
What pre-operative tests should be considered in a patient scheduled for a supraglottic laryngectomy?
8.
Discuss the results of the landmark 1991 Veterans Affairs Laryngeal Cancer Study Group. Copy this article for your fellow residents.
Reference(s):
Wolf, G. T., Fisher, S. G., Hong, W. K., Hillman, R., Spaulding, M., Laramore, G. E., … Henderson, W. G. (1991). Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. The New England Journal of Medicine, 324(24), 1685–1690.
9.
Is concurrent chemotherapy better than induction chemotherapy followed by radiotherapy in the treatment of patients with advanced laryngeal carcinoma?
10.
Controversy about the role of surgery in the treatment of larynx cancer persists. What do you think about this author’s view?
Reference(s):
Olsen, K. D. (2010, January). Reexamining the treatment of advanced laryngeal cancer. Head & Neck. United States.
11.
What are the indications for primary total laryngectomy?
12.
How should the thyroid gland be managed during total laryngectomy?
13.
What are the predisposing risk factors for the development of a post-laryngectomy pharyngo-cutatneous fistula? How would you manage this complication?