|
| Patient | Age | Sex | Malignancy and staging | Malignancy treatment | TL indication | TL surgical approach | TEP placement? | Postop complications (other than strictures) | Salivary bypass tubes? |
|
| #1 | 60 | M | SCC of the left supraglottic larynx (T4aN2cM0) | Primary TL with adjuvant postop chemoRT (cisplatin) | Treatment of malignancy | TL, partial pharyngectomy, partial glossectomy, tracheoesophageal puncture, cricopharyngeal myotomy, partial left thyroidectomy with right sternocleidomastoid muscle pedicle rotational flap and left radial forearm free flap | Yes (primary) | PCF; leakage around TEP; 2 inadvertent TEP dislodgements (replaced) | No |
| #2 | 69 | F | Cancer of epiglottis with the type and stage unknown; primary SCC of the left supraglottic larynx (unknown stage) 27 years later | Surgical resection and postop XRT of epiglottic cancer; primary chemoRT (unsure cancer stage, radiation dose or type of chemo) for primary laryngeal cancer | Nonfunctional larynx with chronic aspiration and significant dysphagia | TL, partial pharyngectomy, right sternocleidomastoid muscle pedicle flaps, left pec muscle flap | Yes (secondary) | None | No |
| #3 | 58 | F | SCC of the glottic larynx (T3N2bM0), later restaged to T4N0M0 | ChemoRT initially, then primary TL with adjuvant postop chemoRT (cisplatin) | Treatment of malignancy | TL, left modified radical neck dissection, primary TP puncture and cricopharyngeal myotomy | Yes (primary) | Orocutaneous fistula with chyle leak; leakage around TEP; 2 TEP embeddings (resolved with outpatient speech language pathologist intervention) | Yes |
| #4 | 58 | M | SCC of the larynx (unknown stage) | ChemoRT, developed recurrent disease 1 year later and required salvage laryngopharynectomy | Treatment of malignancy | Laryngopharyngectomy with left pectoral flap and bilateral neck LN dissection | No | PCF; extensive peristomal granulation tissue s/p surgical excision; bleeding from a stoma | No |
| #5 | 61 | M | SCC of the larynx (T4N0M0), incidental papillary thyroid cancer | Primary TL and right hemithyroidectomy with adjuvant postop chemoRT (cisplatin and 70 Gy) | Treatment of malignancy | TL, right hemithyroidectomy, tracheoesophageal puncture, cricopharyngeal myotomy | Yes (primary) | None | No |
| #6 | 50 | F | SCC of left TVC (T3N2bM0) | XRT and left modified radical neck dissection ~25 years ago | Chondroradionecrosis of the laryngeal structures and laryngocutaneous fistula | TL with left pectoral flap | Yes (secondary) | PCF; 20 hyperbaric treatments | Yes |
| #7 | 64 | M | SCC of the larynx (T3N1M0) | Primary TL with adjuvant postop XRT | Treatment of malignancy | TL with left neck dissection | Yes (secondary) | Perforation of the posterior cervical esophageal wall after secondary TP requiring gastrostomy and hyperbaric O2 at outside facility; leakage around TEP; Candida overgrowth of a stoma | No |
|
