Neck evaluation with barium-enhanced radiographs and CT scans after supraglottic subtotal laryngectomy

J. H. Niemeyer, D. M. Balfe, Richard E Hayden

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Supraglottic subtotal laryngectomy (SSL) is a radical, yet voice-conserving, surgical procedure commonly performed for carcinoma of the supraglottic larynx. The pharyngograms and computed tomographic (CT) scans of 35 patients obtained after SSL were evaluated retrospectively. These examinations reliably demonstrated the changes in anatomy caused by removal of the epiglottis, aryepiglottic folds, and false vocal cords. Fourteen patients had documented recurrence of cancer; five mucosal, nine extramucosal. Three of five macroscopic mucosal recurrences in the larynx/pharynx were detected on the barium pharyngograms; the two mucosal lesions not seen were in the base of the tongue and tonsillar fossa. CT enabled detection of five of five recurrences and was superior to pharyngography in demonstrating the soft-tissue extent of disease. CT findings mimicking recurrence were seen in two patients: one with diffuse histiocytic lymphoma; the second, with benign hyperkeratosis. Barium and CT examinations are useful adjuncts to the clinical examination in detecting recurrent squamous cell carcinoma in patients following SSL.

Original languageEnglish (US)
Pages (from-to)493-498
Number of pages6
JournalRadiology
Volume162
Issue number2
StatePublished - 1987
Externally publishedYes

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Laryngectomy
Barium
Neck
Recurrence
Larynx
Epiglottis
Lymphoma, Large B-Cell, Diffuse
Vocal Cords
Pharynx
Tongue
Squamous Cell Carcinoma
Anatomy
Carcinoma
Neoplasms

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Neck evaluation with barium-enhanced radiographs and CT scans after supraglottic subtotal laryngectomy. / Niemeyer, J. H.; Balfe, D. M.; Hayden, Richard E.

In: Radiology, Vol. 162, No. 2, 1987, p. 493-498.

Research output: Contribution to journalArticle

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