Authors: Fikret Kasapoglu Levent Erisen Hakan Coskun Oğuz Basut
Publish Date: 2007/04/13
Volume: 264, Issue: 9, Pages: 1065-1070
Abstract
In the treatment of earlystage glottic cancers radiotherapy and surgery have similar success rates In our department we have been using cold instruments coupled with surgical microscope and/or telescopes for several years in treatment of early stage glottic cancers Our aims were to present our experience with endolaryngeal resection of T1 glottic cancers with cold instruments coupled with surgical microscope and telescopes to present our oncological results to discuss the advantages of endolaryngeal cordectomy over open cordectomy or RT and to discuss whether laser is obligatory for this approach or notOur study includes retrospective analysis of 38 patients with T1 glottic cancer who have been treated with endolaryngeal surgery as the primary treatment The median followup was 24 months The most commonly performed procedure was typeII cordectomy 385 Overall survival rate was 947 while the diseasespecific survival rate was 100 Local recurrences occurred in two patients at 8th and 11th months postoperatively In the first patient typeVc cordectomy and in the second typeVa cordectomy had been performed Both patients with recurrences could be salvaged by frontolateral laryngectomy and are still alive in their 38th and 6th months following salvage surgery Therefore the local control rate and larynx preservation rate with endolaryngeal cordectomy were 947 and 100 respectively in this study group All patients had a voice quality sufficient for communicating easily over telephone We believe that lasers are not obligatory to perform endolaryngeal cordectomy for treatment of T1 glottic cancers as the same oncological and similar functional outcomes may be achieved with the traditional cold instruments
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