Laser debulking or tracheotomy in airway management prior to total laryngectomy for T4a laryngeal cancer.
Djamil SemdaieFabienne HarounOdile CasiraghiFrançois BidaultStéphane TemamFrançois JanotPhilippe GorphePublished in: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (2018)
A tracheotomy prior to a total laryngectomy is associated with decreased survival. We recommend laser debulking as the preferred treatment whenever management of an obstructive airway is required prior to a total laryngectomy.