case_images: PMC11725688_01
case_images: Endoscopic appearance of the squamous cell carcinomas of the supraglottic larynx. [Color figure can be viewed in the online issue, which is available at www.laryngoscope.com.]
case_images: LARY-135-744-g002.jpg
case_images: PMC11725688_01_LARY-135-744-g002.jpg
case_images: lary31767-fig-0001
case_images: We present the case of an 85-year-old female, former smoker, who, 14 years after successful treatment by chemoradiation of an esophageal SCC of the cervical tract, presented with a biopsy proven second primary SCC of the supra-hyoid portion of the epiglottis with limited extension to the infra-hyoid epiglottis and to the left aryepiglottic fold, clinically staged as T2N0 (Fig. 1).
case_images: TOLES surgical setup. The VITOM  3D-HD, maneuvered by the ARTip Cruise robotic arm, is coupled to the laser micromanipulator. The biggest 3D monitor is positioned at patient's legs. TOLES = transoral laser exoscopic surgery. [Color figure can be viewed in the online issue, which is available at www.laryngoscope.com.]
case_images: LARY-135-744-g004.jpg
case_images: PMC11725688_01_LARY-135-744-g004.jpg
case_images: lary31767-fig-0002
case_images: Operative theatre setup during TOLES, with the position of the surgeon and his team (letters) and the TOLES tools (numbers). (A) Surgeon; (B) assistant surgeon; (C) scrub nurse; (D) anesthesiologist; (E) patient; 1, ARTip Cruise robotic arm; 2, VITOM  3D-HD Exoscope coupled to the laser micromanipulator; 3, VITOM  IMAGINE1 PILOT; 4, suspension system with Zeitels Suspension Gallows (Endocraft LLC, Boston, MA, USA) and DEDO laryngoscope (Karl Storz, Tuttlingen, Germany); 5, 3D monitor. TOLES = transoral laser exoscopic surgery. [Color figure can be viewed in the online issue, which is available at www.laryngoscope.com.]
case_images: LARY-135-744-g001.jpg
case_images: PMC11725688_01_LARY-135-744-g001.jpg
case_images: lary31767-fig-0003