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DOI: 10.1148/rg.283075091
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RadioGraphics 2008;28:869-882
© RSNA, 2008

EDUCATION EXHIBIT

CT Findings after Laryngectomy1

Concepción Ferreiro-Argüelles, MD, Laura Jiménez-Juan, MD, Jesús M. Martínez-Salazar, MD, Juan L. Cervera-Rodilla, MD, Manuel M. Martínez-Pérez, MD, Jimena Cubero-Carralero, MD, Susana González-Cabestreros, MD, Miguel A. López-Pino, MD, and Juan M. Fernández-Gallardo, MD

1 From the Departments of Radiology (C.F.A., L.J.J., J.L.C.R., M.M.M.P., J.C.C., S.G.C., J.M.F.G.) and Otolaryngology (J.M.M.S.), Hospital Severo Ochoa, Avenida de Orellana s/n, 28911 Leganés, Madrid, Spain; and Department of Radiology, Hospital I. U. Niño Jesús, Madrid, Spain (M.A.L.P.). Recipient of a Certificate of Merit award for an education exhibit at the 2006 RSNA Annual Meeting. Received May 2, 2007; revision requested July 10 and received September 5; accepted September 26. All authors have no financial relationships to disclose. Address correspondence to C.F.A. (e-mail: ferreiroconcha{at}gmail.com).

The goal of surgical treatment of laryngeal cancer is to achieve tumor control while preserving, whenever possible, the three primary functions of the larynx: breathing, swallowing, and phonation. The surgical procedure may consist of either a partial, conservative excision (eg, cordectomy, vertical partial laryngectomy, horizontal supraglottic laryngectomy, supracricoid laryngectomy with cricohyoidopexy or cricohyoidoepiglottopexy, or near total laryngectomy) or a radical excision (total laryngectomy). The procedure depends largely on the location and extension of the tumor, the stage of disease, and the patient’s needs and preferences. Familiarity with the typical imaging appearance of the larynx after each procedure is crucial for differentiating normal postsurgical changes from persistent or recurrent disease as well as for diagnosing associated second primary malignancies. Since computed tomography (CT) is often used for follow-up evaluations, an ability to interpret the characteristic CT features is particularly important.

© RSNA, 2008






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