Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2
AUTOR(ES)
Estomba, Carlos Miguel Chiesa, Reinoso, Frank Alberto Betances, Velasquez, Alejandra Osorio, Fernandez, Jose Luis Rodriguez, Conde, Jose Luis Fariña, Hidalgo, Carmelo Santidrian
FONTE
Int. Arch. Otorhinolaryngol.
DATA DE PUBLICAÇÃO
2016-09
RESUMO
Abstract Introduction Transoral laser microsurgery (TLM) has won territory in larynx oncology, establishing itself as an effective option in treatment of glottic, supraglottic, and hypopharynx tumors. Its advantages include limited resections, a reduction in number of tracheostomies, and the use of nasogastric tubes. Moreover, its oncological benefits are similar to those from open surgery in patients with early or advanced stages, when correctly selected. Objective The objective of this study is to review oncologic outcomes obtained with the treatment of a series of glottic tumors, treated by TLM. Methods Retrospective analysis of patients previously untreated, diagnosed with squamous cell carcinoma of the glottis (T1a, T1b, T2) in a tertiary university hospital. Endpoints for analysis were local control, overall and disease-specific survival, and larynx preservation rate. Results The study group included 58 patients that met the inclusion criteria: 57 (98.3%) men and 1 (1.7%) woman. Mean age was 65.5 10.7 years (Min: 46/Max: 88). The tumor stages of the patients included were 30 T1a, 11 (19%) T1b, and 17 (29.3%) T2. Three-year overall survival rate was 89.7% (Fig. 1), and three-year disease-specific survival rate was 96.5%, three-year local control rate was 98.3%, and three-year organ preservation rate was 98.3%. Conclusion TLM is a safe and effective option in the treatment of glottis carcinomas, associated with less morbidity and a high percentage of local control, overall survival, specific survival, and organ preservation.
Documentos Relacionados
- Complications in CO2 Laser Transoral Microsurgery for Larynx Carcinomas
- The role of intraoperative narrow-band imaging in transoral laser microsurgery for early and moderately advanced glottic cancer
- Management of Early Glottic Cancer Treated by CO2 Laser According to Surgical-Margin Status: A Systematic Review of the Literature
- Impact of resection margin status and revision transoral laser microsurgery in early glottic cancer: analysis of organ preservation and local disease control on a cohort of 153 patients
- CO2 laser-assisted debonding for esthetic ceramic brackets