Endoscopic CO2 laser therapy of selected cases of supraglottic marginal tumors

M. Csanády, L. Iván, J. Czigner

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5 Citations (Scopus)

Abstract

Endoscopic CO2 laser intervention can be used as conservation surgery for supraglottic laryngeal carcinomas in carefully selected patients. We analyzed retrospectively our experience in managing patients with early supraglottic carcinomas operated on at the Clinic of Otorhinolaryngology, Szeged, Hungary, during the 10-year period between 1987 and 1997. Conservation surgery was the treatment of choice in 187 patients, but only 23 (12%) were selected for endoscopic CO2 laser surgery. Laser surgery was indicated predominantly for T1 cancer of the epiglottis (n = 15), but was also performed for T2 cancers (n = 8). Of the 23 supraglottic tumors treated, 16 had no signs of recurrence to date (1.5 to 9 years after surgery) a local control rate of 70%. Six patients with recurrences underwent salvage therapies that included repeated laser excisions (n = 3), radiotherapy (to 60 Gy), horizontal supraglottic laryngectomy and total laryngectomy. One patient was not resectable because of multiple metastases. Our experience with endolaryngeal CO2 laser excision indicates that it is a reasonable method in selected cases of supraglottic tumors, but one-third of the patients required salvage treatment.

Original languageEnglish
Pages (from-to)392-394
Number of pages3
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume256
Issue number8
DOIs
Publication statusPublished - Oct 19 1999

Keywords

  • Endoscopic CO laser surgery
  • Supraglottic cancer
  • Supraglottic laryngectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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