Organ preservation surgery for laryngeal cancer in a trombone player

Introduction. Modern treatments for early glottic carcinoma achieve high rates of local control and long-term survival, but potential side effects of some of these treatments have a substantial impact on a patient’s quality of life. There is a small quantity of available scientific research on the e...

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Main Authors: Čukić Ognjen, Milenković Aleksandar, Sotirović Jelena, Milojević Milanko
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2023-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300039C.pdf
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author Čukić Ognjen
Milenković Aleksandar
Sotirović Jelena
Milojević Milanko
author_facet Čukić Ognjen
Milenković Aleksandar
Sotirović Jelena
Milojević Milanko
author_sort Čukić Ognjen
collection DOAJ
description Introduction. Modern treatments for early glottic carcinoma achieve high rates of local control and long-term survival, but potential side effects of some of these treatments have a substantial impact on a patient’s quality of life. There is a small quantity of available scientific research on the effects of organ-preservation surgery on musicians, highlighting the challenge of balancing functional outcomes with their occupational demands. Case report. We present a successful surgical treatment of a mid-membranous left vocal fold squamous cell carcinoma (T1a stage) in a professional trombonist with a history of many years of smoking. Due to suboptimal exposure during initial microlaryngoscopy, open cordectomy was performed for tumor removal instead of transoral laser microsurgery. After the operation and the proper rehabilitation, the patient continued to play the brass instrument unhindered and managed to fulfill all the obligations of a professional musician in a national orchestra. Conclusion. Selecting a method for the treatment of glottic cancers in professional musicians who play brass instruments remains challenging due to limited literature and the potential harm to the ability of performance and the musician’s career. Partial open laryngectomies for laryngeal cancer treatment are shown to be feasible without compromising the musician’s performance.
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spelling doaj.art-0f310f54a7034be296e4a2cee6083a842024-04-10T10:28:41ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-0180121045104810.2298/VSP230622039C0042-84502300039COrgan preservation surgery for laryngeal cancer in a trombone playerČukić Ognjen0https://orcid.org/0000-0002-7915-0815Milenković Aleksandar1https://orcid.org/0000-0002-5765-7287Sotirović Jelena2Milojević Milanko3Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Otorhinolaryngology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia Introduction. Modern treatments for early glottic carcinoma achieve high rates of local control and long-term survival, but potential side effects of some of these treatments have a substantial impact on a patient’s quality of life. There is a small quantity of available scientific research on the effects of organ-preservation surgery on musicians, highlighting the challenge of balancing functional outcomes with their occupational demands. Case report. We present a successful surgical treatment of a mid-membranous left vocal fold squamous cell carcinoma (T1a stage) in a professional trombonist with a history of many years of smoking. Due to suboptimal exposure during initial microlaryngoscopy, open cordectomy was performed for tumor removal instead of transoral laser microsurgery. After the operation and the proper rehabilitation, the patient continued to play the brass instrument unhindered and managed to fulfill all the obligations of a professional musician in a national orchestra. Conclusion. Selecting a method for the treatment of glottic cancers in professional musicians who play brass instruments remains challenging due to limited literature and the potential harm to the ability of performance and the musician’s career. Partial open laryngectomies for laryngeal cancer treatment are shown to be feasible without compromising the musician’s performance.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300039C.pdflaryngeal neoplasmsmusicopen hordectomyotorhinolaryngologic surgical proceduresvocal fold carcinoma
spellingShingle Čukić Ognjen
Milenković Aleksandar
Sotirović Jelena
Milojević Milanko
Organ preservation surgery for laryngeal cancer in a trombone player
Vojnosanitetski Pregled
laryngeal neoplasms
music
open hordectomy
otorhinolaryngologic surgical procedures
vocal fold carcinoma
title Organ preservation surgery for laryngeal cancer in a trombone player
title_full Organ preservation surgery for laryngeal cancer in a trombone player
title_fullStr Organ preservation surgery for laryngeal cancer in a trombone player
title_full_unstemmed Organ preservation surgery for laryngeal cancer in a trombone player
title_short Organ preservation surgery for laryngeal cancer in a trombone player
title_sort organ preservation surgery for laryngeal cancer in a trombone player
topic laryngeal neoplasms
music
open hordectomy
otorhinolaryngologic surgical procedures
vocal fold carcinoma
url https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300039C.pdf
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