Transoral CO2 laser management for selected supraglottic tumors and neck dissection

Miklós Csanády, J. Czigner, Gábor Vass, J. Jóri

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

This study aimed to evaluate transoral laser resection as a method of choice for conservation surgery for supraglottic laryngeal carcinoma in carefully selected patients. Between 1987 and 2006, 55 patients with early supraglottic carcinoma were selected for transoral laser surgery. The outcome of the endoscopic CO2 laser resection and larynx-sparing functional results without tracheotomy was evaluated. Fifty-five patients with T1, T2 supraglottic carcinomas underwent transoral CO2 laser resection and seven patients with manifest neck metastasis required a neck dissection at one session with additional postoperative radiation therapy. There was no need for tracheotomy; deglutition was moderately disturbed. Forty of the 55 (73%) patients had no signs of recurrence to date. Fifteen patients with local recurrences underwent salvage therapies: six repeated laser excisions, three radiotherapies, four supraglottic laryngectomies and two total laryngectomies. Laser-specific survival is 84% and larynx preservation is 96%. The overall 5-year-survival after salvage treatment is 98%. Development of late metastasis required five radical neck dissections (RND) and radiation therapy. The results indicated that transoral laser resection can control early supraglottic cancer in selected patients and can be combined with simultaneous neck dissection with less morbidity than "open surgery".

Original languageEnglish
Pages (from-to)1181-1186
Number of pages6
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume268
Issue number8
DOIs
Publication statusPublished - Aug 2011

Fingerprint

Neck Dissection
Gas Lasers
Lasers
Neoplasms
Salvage Therapy
Tracheotomy
Laryngectomy
Radiotherapy
Larynx
Carcinoma
Neoplasm Metastasis
Recurrence
Survival
Laser Therapy
Deglutition
Neck
Morbidity

Keywords

  • Avoiding tracheotomy
  • CO laser resection
  • Early supraglottic tumor
  • Sparing laryngeal functions
  • Transoral approach

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

Transoral CO2 laser management for selected supraglottic tumors and neck dissection. / Csanády, Miklós; Czigner, J.; Vass, Gábor; Jóri, J.

In: European Archives of Oto-Rhino-Laryngology, Vol. 268, No. 8, 08.2011, p. 1181-1186.

Research output: Contribution to journalArticle

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