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Title Carcinoma of the larynx and hypopharynx / editors: Sudhir Bahadur, Alok Thakar and Bidhu K. Mohanti
Published Singapore : Springer Nature ; [Delhi, India] : Byword Books, [2019]

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Description 1 online resource
Contents Intro; Preface; Contents; Editors and Contributors; 1: Surgical Anatomy and Tumour Spread in the Larynx and Hypopharynx; 1.1 Epidemiology; 1.2 Surgical Anatomy of the Larynx; 1.2.1 Supraglottis; 1.2.2 Glottis; 1.2.3 Subglottis; 1.3 Potential Tissue Spaces in Relation to Laryngeal Cancer Spread; 1.3.1 Reinke's Space; 1.3.2 Paraglottic Space; 1.3.3 Pre-epiglottis Space (Fig. 1.2); 1.3.4 Anterior Subglottic Wedge; 1.4 Natural Laryngeal Barriers to Cancer Spread; 1.4.1 Quadrangular Membrane (Fig. 1.3); 1.4.2 Conus Elasticus (Figs. 1.2 and 1.3); 1.4.3 Anterior Commissure Tendon
1.4.4 Vocal Ligament1.5 Pattern of Spread of Laryngeal Cancers; 1.5.1 Spread Pattern of Glottic Carcinoma; 1.5.2 Pattern of Spread in Supraglottic Carcinoma; 1.6 Epiglottis Carcinoma; 1.7 False Cord Carcinoma; 1.8 Ventricular Carcinoma; 1.9 Arytenoid and AE Fold Carcinoma; 1.10 Transglottic Carcinoma; 1.11 Surgical Anatomy of Hypopharynx; 1.11.1 Pyriform Sinus (PFS); 1.11.2 Posterior Pharyngeal Wall; 1.11.3 Post-cricoid Area (PCA); 1.12 Pattern of Spread in Hypopharyngeal Cancers; 1.12.1 Pattern of Spread in Pyriform Fossa Tumours
1.12.2 Pattern of Spread in Post-cricoid Area Tumours1.12.3 Pattern of Spread in Posterior Pharyngeal Wall Tumours; 1.13 Summary; References; 2: Imaging in Carcinoma of the Larynx; 2.1 Overview; 2.2 Cartilages of the Larynx; 2.3 Spaces of the Larynx; 2.4 Muscles and Ligaments; 2.5 Choice of Imaging Modality; 2.5.1 Computed Tomography; 2.5.2 Magnetic Resonance Imaging; 2.5.3 Positron Emission Tomography (PET) and CT-PET; 2.6 Key Imaging Considerations; 2.6.1 Tumour Volume; 2.6.2 Relationship of the Tumour to the Ventricular Complex; 2.6.3 Involvement of the Submucosal Spaces
2.6.4 Anterior and Posterior Extension2.6.5 Laryngeal Cartilage Invasion; 2.6.6 Nodal or Systemic Metastases and Synchronous Tumour; 2.7 Supraglottic Carcinoma; 2.8 Glottic SCC; 2.9 Subglottic SCC; 2.10 Post Treatment Imaging; 2.11 Conclusion; References; 3: Diagnosis, Assessment and Staging of Carcinoma of the Larynx; 3.1 Introduction; 3.2 Clinical Evaluation; 3.2.1 Age; 3.2.2 Related History; 3.2.3 Personal History (Risk Factors); 3.2.4 General Physical Examination; 3.2.5 Examination of the Neck; 3.2.6 Clinical Examination of the Larynx; 3.3 Clinical TNM Staging
3.3.1 Radiology3.4 Direct Laryngoscopy (Microlaryngoscopy); 3.4.1 Staging of Laryngeal Cancer; 3.4.2 The Neck Nodal Metastasis (N Staging); 3.4.3 Pathological Staging (PTNM); 3.4.4 Distant Metastasis (M) Staging; 3.5 Recent Update in Early Diagnosis; 3.5.1 Contact Endoscopy and MLS; 3.6 Fluorescence Endoscopy; 3.6.1 Narrow-Band Imaging; 3.7 Author's Comments; 3.8 Follow-Up; 3.9 Role of Radiology (Follow-Up); References; 4: Metastatic Neck Disease; 4.1 Introduction; 4.2 Clinical Significance; 4.3 Lymphatic Drainage of the Larynx; 4.4 Lymphatic Drainage of Hypopharynx
Summary Carcinomas of the larynx and hypopharynx present unique challenges when it comes to their assessment and management. Management involves the essential dilemma of optimizing cure rates while also ensuring that potential disability due to compromised airway, voice and swallowing is minimized. Treatment decisions involve careful disease assessment, judicious multispecialty decision-making, and subsequent meticulous implementation of the selected treatment modalities. The critical nature of each of these steps has led to dramatic advances in assessment techniques (radiology, endoscopy and photography, stroboscopy, narrow band imaging, contact endoscopy) and also in treatment methods (radiation therapy, combined concurrent chemo-radiation, combined sequential chemo-radiation, trans-oral CO2 laser and robotic surgery, partial laryngectomy, total laryngectomy, extended total laryngectomy). As such, treatment decisions have become increasingly complex with the twin objectives of maximizing cure as well as function preservation and are based on tumor stage, tumor location, systemic co-morbidities, nutritional status, patient priorities, and social and economic factors. This multidisciplinary book has been written by a team of editors with considerable experience and expertise in these critical areas and a deep understanding of teamwork and the strengths and limitations of individual technologies and treatments. It presents a homogeneous and unbiased view that is applicable to all specialties involved in the care of larynx and hypopharynx cancers
Bibliography Includes bibliographical references
Notes Online resource; title from PDF title page (EBSCO, viewed February 25, 2019)
Subject Larynx -- Cancer.
Hypopharynx -- Cancer
Laryngeal Neoplasms
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
MEDICAL -- Oncology -- General.
Hypopharynx -- Cancer
Larynx -- Cancer
Form Electronic book
Author Bahadur, Sudhir, editor
Thakar, Alok, editor
Mohanti, Bidhu K., editor
ISBN 9789811331107
9811331103