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a supraglottic laryngectomy is a partial laryngectomy technique which spares the true vocal folds arytenoids much of the base of tongue and hyoid bone this procedure can be performed via an open or endoscopic approach patients with t1t2 supraglotticglottic cancers are potential candidates for a supraglottic horizontal partial laryngectomy t3 supraglottic cancers with preepiglottic space involvement can also be considered while the supraglottic laryngectomy is an effective oncologic surgery several contraindications to the procedure exist involvement of the pyriform sinus above the plane of the laryngeal ventricle is not a contraindication to supraglottic laryngectomy involvement of the apex of the pyriform is a contraindication aside from the other answer choices additional contraindications include interarytenoidposterior commissure involvement cricoarytenoid joint involvement cricoid cartilage involvement subglottic extension 10 mm and extralaryngeal spread incorrect answers a patients with significant medical comorbidities particularly related to pulmonary function are not candidates for laryngeal preservation surgery c extensive base of tongue involvement is a contraindication to supraglottic laryngectomy d bilateral involvement of the arytenoids is a contraindication to supraglottic laryngectomy at least 1 arytenoid must be spared e bicortical thyroid cartilage invasion is a contraindication to supraglottic laryngectomy invasion of the inner cortex is not necessarily a contraindication for surgery vital concept selection criteria for supraglottic laryngectomy are strict and are composed of functional anatomic and general medical considerations
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the local sheriff enters the medical record department and asks to see the patient record of a recently discharged patient the patient was involved in a traffic accident and had left the scene the identification of the agent appears to be in order do you release the information why or why not
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