Succo G, Peretti G, Piazza C, Remacle M, Eckel H E, Chevalier D, Simo R, Hantzakos A G, Rizzotto G, Lucioni M, Crosetti E, Antonelli A R
Department of Otorhinolaryngology, Ospedale San Luigi-Martini, University of Turin, Turin, Italy.
Eur Arch Otorhinolaryngol. 2014 Sep;271(9):2489-96. doi: 10.1007/s00405-014-3024-4. Epub 2014 Apr 2.
We present herein the proposal of the European Laryngological Society working committee on nomenclature for a systematic classification of open partial horizontal laryngectomies (OPHL). This is based on the cranio-caudal extent of laryngeal structures resected, instead of a number of different and heterogeneous variables present in existing nomenclatures, usually referring to eponyms, types of pexy, or inferior limit of resection. According to the proposed classification system, we have defined three types of OPHLs: Type I (formerly defined horizontal supraglottic laryngectomy), Type II (previously called supracricoid laryngectomy), and Type III (also named supratracheal laryngectomy). Use of suffixes "a" and "b" in Type II and III OPHLs reflects sparing or not of the suprahyoid epiglottis. Various extensions to one arytenoid, base of tongue, piriform sinus, and crico-arytenoid unit are indicated by abbreviations (ARY, BOT, PIR, and CAU, respectively). Our proposal is not intended to give a comprehensive algorithm of application of different OPHLs to specific clinical situations, but to serve as the basis for obtaining a common language among the head and neck surgical community. We therefore intend to present this classification system as a simple and intuitive teaching instrument, and a tool to be able to compare surgical series with each other and with non-surgical data.
我们在此提出欧洲喉科学会命名工作委员会关于开放性部分水平喉切除术(OPHL)系统分类的提议。该提议基于切除的喉部结构的颅尾范围,而非现有命名法中存在的许多不同且异质的变量,现有命名法通常涉及人名、固定术类型或切除下限。根据提议的分类系统,我们定义了三种类型的OPHL:I型(以前定义为水平声门上喉切除术)、II型(以前称为环状软骨上喉切除术)和III型(也称为气管上喉切除术)。II型和III型OPHL中使用后缀“a”和“b”表示是否保留舌骨上会厌。向一侧杓状软骨、舌根、梨状窦和环杓单元的各种扩展分别用缩写(分别为ARY、BOT、PIR和CAU)表示。我们的提议并非旨在给出不同OPHL应用于特定临床情况的全面算法,而是作为在头颈外科界获得通用语言的基础。因此,我们打算将该分类系统作为一种简单直观的教学工具,以及一种能够相互比较手术系列以及与非手术数据的工具来呈现。