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Eur J Cardiothorac Surg 2002;21:71-73
© 2002 Elsevier Science NL

Cervical mediastinoscopy after total laryngectomy and radiotherapy: its feasibility

Department of Thoracic Surgery, Royal Brompton Hospital, London, UK

Received 11 June 2001; received in revised form 7 October 2001; accepted 10 October 2001.

* Corresponding author. Tel.: +44-207-351-8558; fax: +44-207-351-8560
e-mail: p.goldstraw{at}rbh.nthames.nhs.uk

Objective: The feasibility of cervical mediastinoscopy after total laryngectomy and radiotherapy has not been documented. Methods: We describe our experience with cervical mediastinoscopy in two patients with total laryngectomy and radiotherapy for squamous cell carcinoma and had a Blom–Singer speaking tracheostomy valve in situ. Both patients presented with mediastinal lymphadenopathy and radiographic features suggesting a new pulmonary malignancy. Results: Rigid bronchoscopy and cervical mediastinoscopy were undertaken and paratracheal and subcarinal lymph nodes were biopsied. Both patients made uneventful post operative recovery. Mediastinal lymph node biopsy was definitive in deciding their further care. Conclusion: Cervical mediastinoscopy is feasible in patients with total laryngectomy, tracheostomy and radiotherapy.

Key Words: Cervical mediastinoscopy • Total laryngectomy • Tracheostomy • Radiotherapy

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