Oncologic and functional outcomes of transoral CO2 laser cordectomy for early glottic cancer.
Adult
Aged
Aged, 80 and over
Female
Glottis
/ surgery
Humans
Laryngeal Neoplasms
/ surgery
Laryngoscopy
/ methods
Laser Therapy
/ methods
Lasers, Gas
Male
Margins of Excision
Middle Aged
Neoplasm Recurrence, Local
/ surgery
Neoplasm Staging
Patient Satisfaction
Postoperative Complications
/ physiopathology
Salvage Therapy
Speech Acoustics
Treatment Outcome
Vocal Cords
/ surgery
Voice Disorders
/ physiopathology
Early glottic cancer
Transoral CO2 laser cordectomy
Journal
Auris, nasus, larynx
ISSN: 1879-1476
Titre abrégé: Auris Nasus Larynx
Pays: Netherlands
ID NLM: 7708170
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
16
12
2018
revised:
03
08
2019
accepted:
13
08
2019
pubmed:
17
9
2019
medline:
23
3
2021
entrez:
17
9
2019
Statut:
ppublish
Résumé
To investigate the oncological and functional outcomes of the patients treated with transoral CO2 laser cordectomy for early glottic cancer. Fifty-five consecutive patients who underwent CO2 laser cordectomy for early glottic cancer were retrospectively reviewed. Overall survival, larynx preservation, and relapse free local control rates were 96%, 100%, and 91%, respectively. Five patients with local recurrences were salvaged with re-cordectomy and/or radiotherapy. In type I cordectomy, VHI-10 consistently improved during postoperative course and VHI-10 at postoperative 12months was significantly better than preoperative value (2.3 vs. 9.4, p=0.02). Perceptual grading, MPT, MFR and AC/DC also improved and were better than preoperative values. In type III cordectomy, shimmer at 12months after cordectomy was significantly better than preoperative value (14.7 vs. 9.3, p=0.007). These results further support the rationale of CO2 cordectomy as initial and salvage surgery for early glottic cancer.
Identifiants
pubmed: 31522907
pii: S0385-8146(18)31057-5
doi: 10.1016/j.anl.2019.08.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
276-281Informations de copyright
Copyright © 2019. Published by Elsevier B.V.