Journal of Otology & RhinologyISSN: 2324-8785

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Case Report, J Otol Rhinol Vol: 3 Issue: 3

Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis

Shintaro Yoshihara1*, Takahiro Asakage1, Yuki Saito1, Takaharu Nito1, Jun Shimizu2, Shoji Tsuji2 and Tatsuya Yamasoba1
1Department of Otolaryngology and Head and Neck Surgery, University of Tokyo, Tokyo, Japan
2Department of Neurology, University of Tokyo, Tokyo, Japan
Corresponding author : Shintaro Yoshihara
Department of Otolaryngology and Head and Neck Surgery, University of Tokyo, 7-3-1, Hongo, Bunkyoku, Tokyo, Japan
Tel: +81-3-5800-8665; Fax: +81-3-3814-9486
E-mail: [email protected]
Received: January 23, 2014 Accepted: April 19, 2014 Published: April 27, 2014
Citation: Yoshihara S, Asakage T, Saito Y, Nito T, Shimizu J, et al., (2014) Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis. J Otol Rhinol 3:3. doi:10.4172/2324-8785.1000154

Abstract

Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis

We present the case of a 75-year-old male patient with amyotrophic lateral sclerosis (ALS) who developed laryngeal cancer. He was diagnosed as having ALS with progressive bulbar symptoms at the age of 67, and underwent glottis closure and tracheostomy at the age of 71 to prevent aspiration. At the time, he could only move his eyes and toes and was totally dependent on a mechanical ventilator. At the age of 75, he showed swelling and redness around the tracheostoma and was diagnosed as having laryngeal squamous cell carcinoma, T4aN0M0. Total laryngectomy was performed with skin reconstruction using a delto-pectoral flap. Because of the recent improvement in the prognosis of ALS, it is important to consider appropriate treatment strategies for ALS patients with other fatal complications or diseases based on their will and quality of life.

Keywords: Laryngeal Cancer; Amyotrophic Lateral Sclerosis; Glottis Closure Procedure; Total Laryngectomy

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