Function preservation surgery in patients with chondrosarcoma of the cricoid cartilage

Steven M. Zeitels, James A. Burns, John C. Wain, Cameron D. Wright, Andrew Rosenberg

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Chondrosarcoma is a rare laryngeal neoplasm that is most commonly encountered in the cricoid cartilage and is optimally treated by surgical excision. It is typically a slow-growing malignancy with well-defined margins and a minimal risk of metastasis; however, radiographic imaging studies often appear ominous if the clinician correlates these findings to the biological behavior of epithelial cancer. Furthermore, the fact that the neoplasm's epicenter is usually under the cricoarytenoid joint can lead to airway and voice deficits before and after operation. Although many surgeons opt for function-sparing resection approaches, it is commonplace for some surgeons to injudiciously perform total laryngectomy as the initial treatment because of the rarity, large size, location, and appearance of these tumors on imaging studies. A retrospective review was done on 10 cases of cricoid chondrosarcoma to gain insight into the treatment strategies designed to preserve laryngeal function while minimizing the risk of local recurrence. We performed surgical resection in 8 of the 10 patients; 2 underwent endoscopic removal and 6 underwent transcervical partial laryngectomy. All are free of disease with good voice and swallowing function. One patient developed a limited recurrence and required a second transcervical partial laryngectomy. Function-sparing surgical treatment of chondrosarcomas of the cricoid cartilage can usually be achieved. Surgeons should carefully modify the core principles of epithelial cancer surgery techniques, adjusting to the different biological behavior of laryngeal chondrosarcomas.

Original languageEnglish
Pages (from-to)603-607
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume120
Issue number9
StatePublished - Sep 1 2011
Externally publishedYes

Fingerprint

Cricoid Cartilage
Chondrosarcoma
Laryngectomy
Neoplasms
Recurrence
Laryngeal Neoplasms
Deglutition
Therapeutics
Joints
Neoplasm Metastasis
Surgeons

Keywords

  • Chondrosarcoma
  • Cricoid cartilage
  • Laryngeal cancer
  • Larynx
  • Partial laryngectomy
  • Subglottic reconstruction
  • Subglottic tumor

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Function preservation surgery in patients with chondrosarcoma of the cricoid cartilage. / Zeitels, Steven M.; Burns, James A.; Wain, John C.; Wright, Cameron D.; Rosenberg, Andrew.

In: Annals of Otology, Rhinology and Laryngology, Vol. 120, No. 9, 01.09.2011, p. 603-607.

Research output: Contribution to journalArticle

Zeitels, Steven M. ; Burns, James A. ; Wain, John C. ; Wright, Cameron D. ; Rosenberg, Andrew. / Function preservation surgery in patients with chondrosarcoma of the cricoid cartilage. In: Annals of Otology, Rhinology and Laryngology. 2011 ; Vol. 120, No. 9. pp. 603-607.
@article{4c7620f475674cfdb3ab7fc63a0d8e78,
title = "Function preservation surgery in patients with chondrosarcoma of the cricoid cartilage",
abstract = "Chondrosarcoma is a rare laryngeal neoplasm that is most commonly encountered in the cricoid cartilage and is optimally treated by surgical excision. It is typically a slow-growing malignancy with well-defined margins and a minimal risk of metastasis; however, radiographic imaging studies often appear ominous if the clinician correlates these findings to the biological behavior of epithelial cancer. Furthermore, the fact that the neoplasm's epicenter is usually under the cricoarytenoid joint can lead to airway and voice deficits before and after operation. Although many surgeons opt for function-sparing resection approaches, it is commonplace for some surgeons to injudiciously perform total laryngectomy as the initial treatment because of the rarity, large size, location, and appearance of these tumors on imaging studies. A retrospective review was done on 10 cases of cricoid chondrosarcoma to gain insight into the treatment strategies designed to preserve laryngeal function while minimizing the risk of local recurrence. We performed surgical resection in 8 of the 10 patients; 2 underwent endoscopic removal and 6 underwent transcervical partial laryngectomy. All are free of disease with good voice and swallowing function. One patient developed a limited recurrence and required a second transcervical partial laryngectomy. Function-sparing surgical treatment of chondrosarcomas of the cricoid cartilage can usually be achieved. Surgeons should carefully modify the core principles of epithelial cancer surgery techniques, adjusting to the different biological behavior of laryngeal chondrosarcomas.",
keywords = "Chondrosarcoma, Cricoid cartilage, Laryngeal cancer, Larynx, Partial laryngectomy, Subglottic reconstruction, Subglottic tumor",
author = "Zeitels, {Steven M.} and Burns, {James A.} and Wain, {John C.} and Wright, {Cameron D.} and Andrew Rosenberg",
year = "2011",
month = "9",
day = "1",
language = "English",
volume = "120",
pages = "603--607",
journal = "Annals of Otology, Rhinology and Laryngology",
issn = "0003-4894",
publisher = "Annals Publishing Company",
number = "9",

}

TY - JOUR

T1 - Function preservation surgery in patients with chondrosarcoma of the cricoid cartilage

AU - Zeitels, Steven M.

AU - Burns, James A.

AU - Wain, John C.

AU - Wright, Cameron D.

AU - Rosenberg, Andrew

PY - 2011/9/1

Y1 - 2011/9/1

N2 - Chondrosarcoma is a rare laryngeal neoplasm that is most commonly encountered in the cricoid cartilage and is optimally treated by surgical excision. It is typically a slow-growing malignancy with well-defined margins and a minimal risk of metastasis; however, radiographic imaging studies often appear ominous if the clinician correlates these findings to the biological behavior of epithelial cancer. Furthermore, the fact that the neoplasm's epicenter is usually under the cricoarytenoid joint can lead to airway and voice deficits before and after operation. Although many surgeons opt for function-sparing resection approaches, it is commonplace for some surgeons to injudiciously perform total laryngectomy as the initial treatment because of the rarity, large size, location, and appearance of these tumors on imaging studies. A retrospective review was done on 10 cases of cricoid chondrosarcoma to gain insight into the treatment strategies designed to preserve laryngeal function while minimizing the risk of local recurrence. We performed surgical resection in 8 of the 10 patients; 2 underwent endoscopic removal and 6 underwent transcervical partial laryngectomy. All are free of disease with good voice and swallowing function. One patient developed a limited recurrence and required a second transcervical partial laryngectomy. Function-sparing surgical treatment of chondrosarcomas of the cricoid cartilage can usually be achieved. Surgeons should carefully modify the core principles of epithelial cancer surgery techniques, adjusting to the different biological behavior of laryngeal chondrosarcomas.

AB - Chondrosarcoma is a rare laryngeal neoplasm that is most commonly encountered in the cricoid cartilage and is optimally treated by surgical excision. It is typically a slow-growing malignancy with well-defined margins and a minimal risk of metastasis; however, radiographic imaging studies often appear ominous if the clinician correlates these findings to the biological behavior of epithelial cancer. Furthermore, the fact that the neoplasm's epicenter is usually under the cricoarytenoid joint can lead to airway and voice deficits before and after operation. Although many surgeons opt for function-sparing resection approaches, it is commonplace for some surgeons to injudiciously perform total laryngectomy as the initial treatment because of the rarity, large size, location, and appearance of these tumors on imaging studies. A retrospective review was done on 10 cases of cricoid chondrosarcoma to gain insight into the treatment strategies designed to preserve laryngeal function while minimizing the risk of local recurrence. We performed surgical resection in 8 of the 10 patients; 2 underwent endoscopic removal and 6 underwent transcervical partial laryngectomy. All are free of disease with good voice and swallowing function. One patient developed a limited recurrence and required a second transcervical partial laryngectomy. Function-sparing surgical treatment of chondrosarcomas of the cricoid cartilage can usually be achieved. Surgeons should carefully modify the core principles of epithelial cancer surgery techniques, adjusting to the different biological behavior of laryngeal chondrosarcomas.

KW - Chondrosarcoma

KW - Cricoid cartilage

KW - Laryngeal cancer

KW - Larynx

KW - Partial laryngectomy

KW - Subglottic reconstruction

KW - Subglottic tumor

UR - http://www.scopus.com/inward/record.url?scp=80052566584&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052566584&partnerID=8YFLogxK

M3 - Article

C2 - 22032074

AN - SCOPUS:80052566584

VL - 120

SP - 603

EP - 607

JO - Annals of Otology, Rhinology and Laryngology

JF - Annals of Otology, Rhinology and Laryngology

SN - 0003-4894

IS - 9

ER -