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Transoral laser microsurgery for T1b glottic cancer: review of 51 cases

  • Head and Neck
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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

For the treatment of T1b glottic carcinoma, different treatment options, such as transoral laser microsurgery, open surgical techniques, and primary radiotherapy, are under discussion. In this context, the aim of the present study was to describe oncologic results and complication rates of transoral laser microsurgery in treatment of T1b glottic carcinoma. This is a retrospective unicenter chart review of patients treated at an academic tertiary referral center between 1986 and 2006. Fifty-one previously untreated T1b cases were exclusively treated by transoral laser microsurgery and included into this study, 47 were male, and 4 were female. The main outcome measures included local control rate and complications, overall, disease specific, and recurrence-free survival. The median follow-up period was 98 months. The 5-year local control rate was 90.2%; larynx preservation rate was 92.2%. No intra- or postoperative complications, such as wound infections, postoperative bleeding, hematoma, edema, and fistula development, were observed. A single patient required revision surgery due to synechia. Five-year survival rates were: overall 84.7%, disease specific 97.7%, and recurrence free 72.4%. Our data support the conclusion that transoral laser microsurgery is a considerable treatment option in T1b glottic carcinoma. The oncologic outcome was at least comparable to other treatment options, while the perioperative morbidity and complication rate were lower.

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Abbreviations

SCC:

Squamous cell carcinoma

TLM:

Transoral laser microsurgery

RT:

Radiotherapy

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Author notes

    Authors and Affiliations

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany

      Bernhard G. Weiss, Friedrich Ihler, Yiannis Pilavakis, Martin Canis, Christian Welz & Wolfgang Steiner

    2. University of Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany

      Hendrik A. Wolff

    3. Department of Radiation Oncology, Radiologie München, Burgstrasse 7, 80331, Munich, Germany

      Hendrik A. Wolff

    Authors
    1. Bernhard G. Weiss
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    2. Friedrich Ihler
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    4. Hendrik A. Wolff
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    Correspondence to Bernhard G. Weiss.

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    C. Welz and W. Steiner contributed equally.

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    Weiss, B.G., Ihler, F., Pilavakis, Y. et al. Transoral laser microsurgery for T1b glottic cancer: review of 51 cases. Eur Arch Otorhinolaryngol 274, 1997–2004 (2017). https://doi.org/10.1007/s00405-016-4432-4

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    • DOI: https://doi.org/10.1007/s00405-016-4432-4

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