Laser surgery for the treatment of glottic carcinomas

• Published in: American journal of otolaryngology Vol. 24; no. 1; pp. 28 - 33
• Main Authors: Shvero, Jacob, Koren, Rumelia, Zohar, Liza, Hadar, Tuvia, Marshak, Gideon, Gal, Rivka, Feinmesser, Raphael, Segal, Karol
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.01.2003; Elsevier; Elsevier Limited
• Subjects: Adult; Aged; Biological and medical sciences; Carbon dioxide; Carcinoma, Squamous Cell - pathology; Carcinoma, Squamous Cell - surgery; Diseases of the upper aerodigestive tract; Ent and stomatology; Female; Glottis - surgery; Humans; Laryngeal Neoplasms - pathology; Laryngeal Neoplasms - surgery; Larynx; Laser surgery; Laser Therapy; Male; Medical sciences; Middle Aged; Neoplasm Invasiveness; Neoplasm Recurrence, Local; Neoplasm Staging; Ostomy; Otorhinolaryngology. Stomatology; Radiation therapy; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Retrospective Studies; Skin cancer; Surgery; Tropical medicine; Tumors; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology; Asia; Israel; Human; Performance evaluation; Endoscopic surgery; Relapse; Carcinoma; Treatment efficiency; Instrumentation therapy; Malignant tumor; Glottis; CO; Survival; Treatment; laser; ENT disease; Adult; Complication; Technique
• ISSN: 0196-0709; 1532-818X
• DOI: 10.1053/ajot.2003.2

Purpose: The standard treatment for patients with early glottic carcinoma in Israel has been radiotherapy. In recent years, encouraging results with laryngo-microscopic carbon dioxide laser surgery as a treatment for early glottic carcinoma has changed our treatment strategy. We conducted a retrospective study to investigate the results of carbon dioxide laser excisional technique for early glottic carcinoma (T1, T2). Materials and Methods: Twenty-six had squamous cell carcinoma (SCC), (21 patients with T1 and 5 patients with T2 lesions), 3 had carcinoma in situ, (CIS) and 3 had verrucous carcinoma (VC). Results: All patients were free of disease after salvage treatment at the most recent follow-up. Conclusions: Careful patient selection with endoscopic staging and strict follow-up are essential to secure good results in the treatment of carbon dioxide laser for early laryngeal carcinoma. (Am J Otolaryngol 2003;24:28-33. Copyright 2003, Elsevier Science (USA). All rights reserved.)