Original scientific paper
https://doi.org/10.20471/acc.2022.61.s4.9
Treatment of Early Glottic Carcinoma with Transoral Endoscopic Laser Surgery
Juraj Lukinović
; Department of Ear, Nose, Throat and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Borna Miličić
; Department of Ear, Nose, Throat and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Mario Bilić
; Department of Ear, Nose, Throat and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Drago Prgomet
; Department of Ear, Nose, Throat and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Laryngeal carcinoma is one of the most common tumors of the head and neck,
just after skin cancer. Alongside open surgery, transoral endoscopic laser surgery (TOLS) has become
widespread as a treatment method. Our aim was to assess the efficacy of transoral laser cordectomy
in a group of patients with early glottic carcinoma. We retrospectively analyzed data on 131 patients
who underwent TOLS in the 2017-2021 period. We divided patients into groups according to tumor
stage and type of cordectomy performed, and compared outcomes between the groups. Our results revealed
a higher number of patients in the group with Tis and T1a than in those with T1b and T2 who
underwent type III cordectomy, and also a higher number of those for whom outpatient follow-ups
were sufficient after surgery in the same group. We did not observe significant difference in outcomes
according to cordectomy type except for type V (a-d), where a higher number of patients had to undergo
radiotherapy. This study underlines the importance of careful patient selection for TOLS, as well
as the need for close cooperation with pathology and radiology specialists to ensure optimal approach
and extent of surgery for each individual patient. It also displayed TOLS as a sound therapeutic option
for early stages of glottic carcinoma but also indicated the need for similar studies in a larger number
of patients to elucidate the effectiveness in certain glottis areas.
Keywords
Transoral laser surgery; Glottic carcinoma; Cordectomy; Outcomes
Hrčak ID:
292391
URI
Publication date:
31.10.2022.
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