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ENT Ca Larynx d027d18a

A patient with ____________ is a candidate for a supraglottic paial laryngectomy.

A
A T2 lesion of the right aryepiglottic fold, a right false vocal cord, and impaired mobility of the true vocal cord
B
A lesion of the laryngeal surface of the epiglottis below the hyoid bone with evidence of preepiglottic space invasion on computed tomography
C
A lesion of the epiglottis, vallecula, and 1-cm, unilateral extension to the tongue base
D
An invasive lesion of the false vocal cord that is found to extend significantly into the ventricle at the time of surgical endoscopy
High-Yield Explanation
Paial laryngectomy also known as Conservative laryngectomy - done to preserve the voice 1. Supraglottic Laryngectomy - removing half of the thyroid cailage Supraglottic Laryngectomy T1, 2, or 3 if only by preepiglottic space invasion Mobile cords No anterior commisure involvement FEV1>50% No tongue base disease past circumvallate papillae Apex of pyriform sinus not involved Supracricoid Laryngectomy - Thyroid cailage is completely removed - Crico-hyoid epiglottopexy

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