1st ed. 2019 Edition
by Sudhir Bahadur (Editor), Alok Thakar (Editor), Bidhu K. Mohanti (Editor)
Carcinomas of the larynx and hypopharynx present unique challenges
when it comes to their assessment and management. Management involves
the essential dilemma of optimizing cure rates while also ensuring that
potential disability due to compromised airway, voice and swallowing is
minimized. Treatment decisions involve careful disease assessment,
judicious multispecialty decision-making, and subsequent meticulous
implementation of the selected treatment modalities.
The critical
nature of each of these steps has led to dramatic advances in assessment
techniques (radiology, endoscopy and photography, stroboscopy, narrow
band imaging, contact endoscopy) and also in treatment methods
(radiation therapy, combined concurrent chemo-radiation, combined
sequential chemo-radiation, trans-oral CO2 laser and robotic
surgery, partial laryngectomy, total laryngectomy, extended total
laryngectomy). As such, treatment decisions have become increasingly
complex with the twin objectives of maximizing cure as well as function
preservation and are based on tumor stage, tumor location, systemic
co-morbidities, nutritional status, patient priorities, and social and
economic factors.
This multidisciplinary book has been written
by a team of editors with considerable experience and expertise in
these critical areas and a deep understanding of teamwork and the
strengths and limitations of individual technologies and treatments. It
presents a homogeneous and unbiased view that is applicable to all
specialties involved in the care of larynx and hypopharynx cancers.
