Anterior commissure

  • More likely to invade thyroid cartilage
    • Proximity
    • Broyle’s ligament
  • Beware subglottic extension through cricothyroid membrane
  • Imaging advisable if considering CO2 laser or RT, except for small tumours
  • Treatment options
  • CO2 laser / transoral microsurgery
  • Radiotherapy: Adapt technique to cover anterior commissure
  • Vertical partial laryngectomy (Frontolateral)
  • Supracricoid laryngectomy
  • Total laryngectomy (extralaryngeal extension)

Index: Clinical Practice Guidelines for Glottic Cancer

Resource Appropriate Glottic Cancer Guideline Scenarios