Cut as You Go Limited Laryngectomy for Post-radiation/chemoradiation Recurrence: Non-traditional Open/transoral Partial Salvage Laryngectomies

Tuesday, October 20, 2026

11:15 AM - 12:15 PM PT

Location: 515B

Lead Presenter(s)

Michael V. Medina, MD

Staff Physician
Sinus And Respiratory Disease Center At The Texas Institute
Weston, Texas, United States

Mentor(s)

Andres M. Bur, MD

Associate Professor
University of Kansas Medical Center
Kansas City, Kansas, United States

Co-Presenter(s)

Robert M. Brody, MD

Associate Professor of Otorhinolaryngology
University of Pennsylvania
Philadelphia, Pennsylvania, United States

Increasingly, head and neck surgeons are forced to perform salvage surgeries after radiation and/or chemotherapy and radiation.

Total laryngectomy is the gold standard for recurrent laryngeal cancer, However, total laryngectomy has significant effects on the patient's quality of life, particularly on social functioning. Several partial laryngectomy techniques exist, including open and endoscopic (laser and robotic), which are used as primary treatment but also as salvage surgery.

This presentation discusses the concept of partial conservation laryngectomy techniques for recurrent laryngeal cancer, after primary radiation or chem-radiation, modified from classic descriptions, and the considerations to be taken into account when performing these procedures.

Learning Objectives:

To discuss the concept of "Cut As You Go" (CAYGO) partial laryngectomy, which is a disease resection that depends on its extent, either limiting or expanding traditional or established partial laryngectomy techniques.
To understand the important tumor and patient factors that must be considered when offering partial laryngectomy techniques for salvage surgery for laryngeal cancer recurrence after primary radiation or chemoradiation.
To understand standard partial laryngectomy techniques, including endoscopic and open techniques and its modification for use in recurrent laryngeal cases and its benefit particularly in avoiding the quality of life and psycho-social impacts that presents with a total laryngectomy.