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Endoscopic cordectomy. a proposal for a classification by the Working Committee, European Laryngological Society |
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| Authors: | M. Remacle Hans E. Eckel Antonio Antonelli Daniel Brasnu Dominique Chevalier Gerhard Friedrich Jan Olofsson Heinrich H. Rudert Walter Thumfart Marco de Vincentiis Thomas P. U. Wustrow |
| Affiliation: | Service d’Otorhinolaryngologie et de Chirurgie cervico-faciale, Cliniques Universitaires de Louvain à Mont-Godinne, 5530 Yvoir, Belgium e-mail: remacle@orlo.ucl.ac.be, Tel.: ++32 81 42 30 21, Fax: ++32 81 42 37 03, BE Hals-Nasen- und Ohrenheilkunde der Universit?t zu K?ln, 50924 Cologne, Germany, DE Clinica ORL, Spedali Civili di Brescia, 25123 Brescia, Italy, IT Service d’Otorhinolaryngologie et de Chirurgie de la face et du cou, H?pital Laennec, rue de Sèvres 42, 75340 Paris, France, FR Service d’Otorhinolaryngologie et de Chirurgie cervico-faciale, H?pital Huriez, place de Verdun, Lille, France, FR University Ear, Nose and Throat Hospital, Karl Franzens University, Auenbruggerplatz 20, 8036 Graz, Austria, AT Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, University of Bergen, 5021 Bergen, Norway, NO Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Klinikum der Christian-Albrechts-Universit?t zu Kiel, Arnold-Heller-Strasse 14, 24105 Kiel, Germany, DE Auenbruggerplatz, 20, 8036 Insbruck, Austria, AT Istituto Di Clinica Otorinolaringoiatrica, Universta degli studi di Roma “La Sapienza”, Viale del Policlinico, 00161 Roma, Italy, IT Wittelsbacherplatz (Arco-palais) I/II, 80333 München, Germany, DE |
| Abstract: | The European Laryngological Society is proposing a classification of different laryngeal endoscopic cordectomies in order to ensure better definitions of postoperative results. We chose to keep the word “cordectomy” even for partial resections because it is the term most often used in the surgical literature. The classification comprises eight types of cordectomies: a subepithelial cordectomy (type I), which is resection of the epithelium; a subligamental cordectomy (type II), which is a resection of the epithelium, Reinke’s space and vocal ligament; transmuscular cordectomy (type III), which proceeds through the vocalis muscle; total cordectomy (type IV); extended cordectomy, which encompasses the contralateral vocal fold and the anterior commissure (type Va); extended cordectomy, which includes the arytenoid (type Vb); extended cordectomy, which encompasses the subglottis (type Vc); and extended cordectomy, which includes the ventricle (type Vd). Indications for performing those cordectomies may vary from surgeon to surgeon. The operations are classified according to the surgical approach used and the degree of resection in order to facilitate use of the classification in daily practice. Each surgical procedure ensures that a specimen is available for histopathological examination. Received: 29 December 1998 / Accepted: 2 July 1999 |
| Keywords: | Glottic cancer Classifications Endoscopic cordectomy |
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