6.5.15: 15. Anterior Commissure

Atlas of Otolaryngology, Head and Neck Operative Surgery · LibreTexts

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    • More likely to invade thyroid cartilage
      • Proximity
      • Broyle’s ligament
    • Beware subglottic extension through cricothyroid membrane
    • Imaging advisable if considering CO2 laser or RT, except for small tumours
    • Treatment options
    • CO2 laser / transoral microsurgery
    • Radiotherapy: Adapt technique to cover anterior commissure
    • Vertical partial laryngectomy (Frontolateral)
    • Supracricoid laryngectomy
    • Total laryngectomy (extralaryngeal extension)

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