caa a22 4500 606185186 CHVBK 20210128100830.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-015-3666-x doi (NATIONALLICENCE)springer-10.1007/s00405-015-3666-x Supra-thyroid alar cartilage approach for the complete resection of laryngeal submucosal tumors and postoperative voice quality [Elektronische Daten] [Rumi Ueha, Takaharu Nito, Takashi Sakamoto, Yoko Fujimaki, Akihito Yamauchi, Tatsuya Yamasoba] Various surgical approaches for the treatment of laryngeal submucosal tumors have been reported. Endoscopic excision is indicated for small lesions, while external approaches are recommended for larger tumors. This report introduces a supra-thyroid alar cartilage approach (STACA), which has strong advantages for the preservation of the laryngeal framework and voice recovery after surgery. Case series with chart review. Four patients with laryngeal submucosal tumors in the paraglottic space underwent complete tumor removal through STACA. Medical charts were reviewed to evaluate patient background, major complaints, tumor type, tumor size, the time period from operation to tracheostomy closure, tumor recurrence, and the difference between pre- and postoperative voice quality. Voice quality was assessed using the GRBAS score, maximum phonation time (MPT) and Voice Handicap Index-10 (VHI-10) 6months after surgery. All patients were females between 43 and 67years of age. Two patients had schwannoma, one laryngocele, and one lipoma. Mean tumor size was 3.4cm. The main complaints were hoarseness in all patients, and dyspnea in one. The periods of time from surgery to oral intake and tracheostomy closure were 3.5 and 7days, respectively. No patient developed recurrence during a minimum follow-up period of 2years. The postoperative GRBAS scores, MPT and VHI-10 improved in all patients. STACA has advantages including minimal trauma, no deformity to the laryngeal framework, and good voice qualities after the resection of laryngeal submucosal tumors. Springer-Verlag Berlin Heidelberg, 2015 Laryngeal submucosal tumor nationallicence Supra-thyroid alar cartilage approach nationallicence Voice quality nationallicence Voice handicap index nationallicence Maximum phonation time nationallicence Ueha Rumi Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Nito Takaharu Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Sakamoto Takashi Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Fujimaki Yoko Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Yamauchi Akihito Department of Otolaryngology, Sanraku Hospital, Tokyo, Japan aut Yamasoba Tatsuya Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2907-2913 0937-4477 272:10<2907 2015 272 405 https://doi.org/10.1007/s00405-015-3666-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3666-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ueha Rumi Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Nito Takaharu Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Sakamoto Takashi Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Fujimaki Yoko Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamauchi Akihito Department of Otolaryngology, Sanraku Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamasoba Tatsuya Department of Otolaryngology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2907-2913 0937-4477 272:10<2907 2015 272 405