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CO2 laser therapy in Tis and T1 glottic cancer: Indications and results

✍ Scribed by Lucio Rucci; Paolo Romagnoli; Jacopo Scala

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 114 KB
Volume: 32
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21200

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✦ Synopsis

Abstract

Background.

Laser cordectomy for glottic cancer is still hampered by recurrence, which is more frequent upon anterior commissure (AC) involvement. Analysis of results may be a step to improve the efficacy of this therapy for early glottic cancer.

Methods.

In all, 81 patients who underwent surgery with CO~2~ laser for Tis and T1, AC0 to AC2 glottic carcinoma were followed up to 55 months.

Results.

The incidence of recurrence increased significantly with T and AC classifications. The disease‐free interval decreased with increasing T and AC classifications and with increasing severity of histology, but only the AC classification appeared significant. Recurrences occurred in 5 of 35 patients upon type I and type II cordectomy, in 16 of 24 patients upon type V cordectomy, and never upon type III and IV cordectomy.

Conclusions.

Type I to type IV cordectomy, when indicated, can achieve radical treatment of most T1 glottic cancer. Type V cordectomy requires that any suspicion of cartilage invasion, even microscopic, be excluded. © 2009 Wiley Periodicals, Inc. Head Neck, 2010

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