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Modular approach in OPHL: Are there preoperative predictors?

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ACTA OTORHINOLARYNGOLOGICA ITALICA 2020;40:352-359; doi: 10.14639/0392-100X-N0782

Received: April 3, 2020 Accepted: May 19, 2020 Correspondence

Marco Lionello

Laryngology

Modular approach in OPHL: are there preoperative

predictors?

OPHL modulare: esistono parametri predittivi preoperatori?

Andy Bertolin

1

, Marco Lionello

1

, Marco Ghizzo

1

, Emanuela Barbero

2

, Erika Crosetti

3

, Giuseppe Rizzotto

1

, Giovanni Succo

3,4

1 Otolaryngology Unit, Vittorio Veneto Hospital, Italy; 2 Otorhinolaryngology Service, University of Eastern Piedmont, Novara, Italy; 3 Head and Neck Oncology Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo (TO), Italy; 4 Department of Oncology, University

of Turin, Orbassano (TO), Italy

SUMMARY

Objective. 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 intraopera-tively modulating the procedure. It would be useful for the surgeon to recognise preoperative en-doscopic and radiological factors that can predict the possibility to modulate the laryngectomy. Methods. The present study retrospectively reviewed a cohort of 72 patients who under-went OPHL for glottic LSCC, in order to identify preoperative (endoscopic and radiologi-cal) parameters that are able to predict modulation surgery.

Results. The hypoglottic extension of the glottic tumour was the preoperative finding that was most informative in predicting OPHL modulation. However, it had no significant im-pact on oncological outcomes.

Conclusions. 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.

KEY WORDS: OPHL, partial laryngectomy, modular, laryngeal carcinoma, hypoglottic extension

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