Vertical Hemilaryngectomy
Vertical Hemilaryngectomy
Fig.1 Part of the larynx involved by the tumour is resected with sufficient margin. Reconstruction is done using adjacent strap muscles.
Fig.2 Using a horizontal incision, larynx is exposed.
Fig.3 Thyroid cartilage is cut in midline. Site of this cut is based on the extent of tumour.
Fig.4 Divided thyroid cartilage is retracted on either side. Tumour involving the left vocal cord is exposed (green arrow).
Fig.5 Posterior cut is made in thyroid cartilage (green arrow).
Fig.6 Vertical hemilaryngectomy specimen showing the tumour involving the vocal cord. False cord is retracted up to show the ventricle (green arrow).
Fig.7 After resection, normal right hemilarynx is seen. Arytenoid cartilages (A), vocal cord (yellow arrowhead) and posterior resection margin (green arrow) are seen. Reconstruction is done with adjacent strap muscles.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)