Browsing by Author "Johnson, Jonas"

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    Supraglottic Laryngectomy
    (University of Cape Town, 2025-03-03) Johnson, Jonas; Fagan, Johan
    Supraglottic laryngectomy was first introduced to the United States of America over 50 years ago. It effectively controls limited cancer involving the supraglottic portion of the larynx. The overwhelming majority of patients undergoing supraglottic laryngectomy can swallow by mouth 10-14 days after surgery. However, the risk of aspiration pneumonia is significant in patients with inadequate cough and poor pulmonary reserve. It is therefore not appropriate for patients with cardiopulmonary compromise which is so significant that they cannot temporarily tolerate moderate amounts of aspiration. This group of patients should not be offered this procedure.
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    Vertical Partial Laryngectomy
    (University of Cape Town, 2025-03-03) Johnson, Jonas; Fagan, Johan
    Management of small tumours involving the true vocal folds can be contentious. Tumour control is achieved in over 95% of patients presenting with T1 glottic cancer employing external beam radiation therapy, vertical hemilaryngectomy, or transoral endoscopic resection. Given adequate resources, the weight of evidence favours endoscopic transoral resection as the most cost-effective approach with very high rates of tumour control.