{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T22:13:52Z","timestamp":1759961632597},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2011,9,5]],"date-time":"2011-09-05T00:00:00Z","timestamp":1315180800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215111002386_sec1\"><jats:title>Objective:<\/jats:title><jats:p>Supracricoid partial laryngectomy is a reliable laryngeal preservation procedure for tumour stage 2 and selected stage 3 to 4 laryngeal cancers. Of 70 patients thus treated, two (3 per cent) had \u2018flaccid neoglottis\u2019, i.e. redundant mucosa at the inner arytenoid edge which intermittently obstructed the neoglottis. We discuss the mechanism and management of this complication.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111002386_sec2\"><jats:title>Method:<\/jats:title><jats:p>The two cases are presented. A navigation system was used to assist surgery. Neoglottal spatial alteration (specifically cross-sectional area) was assessed pre- and post-operatively using three-dimensional computed tomography. Voice was also evaluated.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111002386_sec3\"><jats:title>Results:<\/jats:title><jats:p>Inspiratory stridor and delayed stomal closure were the main symptoms. Minimum neoglottal cross-sectional area was smaller in case one than in non-affected patients. Both patients had relatively rougher and breathier voices, but had adapted well to this.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111002386_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Flaccid neoglottis is mainly due to excessive anterior retraction of residual laryngeal mucosa and to excessive mucosal pliability with age. A navigation system was useful for confirmation, but the potential for incorrect image recognition should be kept in mind. Flaccid neoglottis was treatable, with improved laryngeal function.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215111002386","type":"journal-article","created":{"date-parts":[[2011,9,5]],"date-time":"2011-09-05T09:41:50Z","timestamp":1315215710000},"page":"1315-1319","source":"Crossref","is-referenced-by-count":2,"title":["\u2018Flaccid neoglottis\u2019 following supracricoid partial laryngectomy: laryngoscopic revision assisted by navigation system"],"prefix":"10.1017","volume":"125","author":[{"given":"M","family":"Nakayama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Seino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Matsuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,9,5]]},"reference":[{"key":"S0022215111002386_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600212"},{"key":"S0022215111002386_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70388-2"},{"key":"S0022215111002386_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211100101"},{"key":"S0022215111002386_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510600315X"},{"key":"S0022215111002386_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.04.018"},{"key":"S0022215111002386_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009900601"},{"key":"S0022215111002386_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901011"},{"key":"S0022215111002386_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.06.260"},{"key":"S0022215111002386_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154751.86431.41"},{"key":"S0022215111002386_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901115"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215111002386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T03:14:06Z","timestamp":1556334846000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215111002386\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,5]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["S0022215111002386"],"URL":"https:\/\/doi.org\/10.1017\/s0022215111002386","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,5]]}}}