Cordectomy

From Wikipedia, the free encyclopedia
Jump to: navigation, search

Cordectomy is the surgical removal of a cord. It usually refers to removal of the vocal cord, often for the purpose of treating Laryngeal Cancer [1] [2]. The word is derived from the Greek, combining "Chorde" and "ektome" meaning excision. It can be carried out by traditional surgical techniques or, increasingly, by Carbon Dioxide Laser [3]. CO2 laser cordectomy has allowed the treatment of glottic carcinoma as a day case procedure [4]. The procedure has also been carried out by vets to prevent incessant barking by dogs [5]. In Human, this type of surgeries are usually done by the Otolaryngologists and Oral & Maxillofacial Surgeons.

The indications being Carcinoma of Vocal cords and Early Glottic Carcinoma etc.

According to the European Laryngeal Society, Cordectomy is classified into followings:

1)Type I  : Subepithelial cordectomy 2)Type II : Subligamental cordectomy 3)Type III: Transmuscular cordectomy 4)Type IV : Total or Complete cordectomy

Extended cordectomy encompassing the contralateral vocal fold (type Va) Extended cordectomy encompassing the arytenoid (type Vb) Extended cordectomy encompassing the ventricular fold (type Vc) Extended cordectomy encompassing the subglottis (type Vd)

Marc Remacle · Hans E. Eckel · Antonio Antonelli · Daniel Brasnu · Dominique Chevalier · Gerhard Friedrich · Jan Olofsson · Heinrich H. Rudert · Walter Thumfart · Marco de Vincentiis · Thomas P. U. Wustrow Endoscopic cordectomy. a proposal for a classification by the Working Committee, European Laryngological Society Eur Arch Otorhinolaryngol (2000) 257 :227–231