A patient with ____________ is a candidate for a supraglottic paial laryngectomy.

A. A T2 lesion of the right aryepiglottic fold, a right false vocal cord, and impaired mobility of the true vocal cord

B. A lesion of the laryngeal surface of the epiglottis below the hyoid bone with evidence of preepiglottic space invasion on computed tomography

C. A lesion of the epiglottis, vallecula, and 1-cm, unilateral extension to the tongue base

D. An invasive lesion of the false vocal cord that is found to extend significantly into the ventricle at the time of surgical endoscopy

Correct Answer: A lesion of the laryngeal surface of the epiglottis below the hyoid bone with evidence of preepiglottic space invasion on computed tomography

Description: Paial laryngectomy also known as Conservative laryngectomy - done to preserve the voice 1. Supraglottic Laryngectomy - removing half of the thyroid cailage Supraglottic Laryngectomy T1, 2, or 3 if only by preepiglottic space invasion Mobile cords No anterior commisure involvement FEV1>50% No tongue base disease past circumvallate papillae Apex of pyriform sinus not involved Supracricoid Laryngectomy - Thyroid cailage is completely removed - Crico-hyoid epiglottopexy

Category: ENT

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