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Potential role of transoral laser surgery for larynx carcinoma

✍ Scribed by Eckel, Hans Edmund; Schneider, Christoph; Jungehülsing, Markus; Damm, Michael; Schröder, Ursula; Vössing, Martin

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
110 KB
Volume
23
Category
Article
ISSN
0196-8092

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✦ Synopsis

Background and Objective:

The treatment of larynx carcinoma is not settled to date. This prospective study evaluates the potential role of transoral laser surgery (TLS) for larynx carcinoma in a large series of unselected patients from a single institution.

Materials and Methods

: A total of 504 consecutive patients with previously untreated carcinoma of the larynx were seen from 1986-1994. Their treatment modalities and results were prospectively evaluated. Results: TLS was used in 290 patients (58%), total laryngectomy in 130 (26%), conventional partial laryngectomies in 31 (6%), and radiotherapy in 34 (7%). Nineteen (4%) had no curative treatment. Uncorrected actuarial survival for all patients with glottic carcinoma stages I and II treated with laser surgery (n = 202) was 80.2%, cause specific survival 96.7%, and local control 85.8%. Uncorrected actuarial survival for all patients with supraglottic carcinoma stages I and II treated with laser surgery (n = 40) was 49.0%, cause specific survival 78.6%, and local control 87.3%. Conclusion: TLS was the most important single treatment modality in this large series of unselected patients. It is a safe and time-and cost-effective alternative to radiotherapy for early stage larynx carcinoma.

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