CO2-laser treatment of recurrent glottic carcinoma

Gier, H. H. W. de; Knegt, P.; Boer, Maarten F. de; Meeuwis, Cees A.; Velden, Lilly–Ann van der; Kerrebijn, Jeroen D. F.

doi:10.1002/1097-0347(200103)23:3<177::aid-hed1015>3.0.co;2-8

Cited by 47 publications

(51 citation statements)

References 22 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10,[23][24][25][26] Our experience of about 35% recurrence after salvage ELS is consistent with the rates published in previous studies. High recurrence rates after ELS are probably the result of understaging of the cancer both before radiotherapy and before ELS, which can lead to undertreatment and positive or close resection margins.…”

Section: Commentsupporting

confidence: 91%

“…There are several advantages to using ELS for salvage surgery in recurrent laryngeal cancer compared with open conservative surgery, 10,[22][23][24][25][26] including shortened hospital stay with consequently reduced costs, low complication rate, possibility of avoiding tracheostomy, good functional results (especially in swallowing), and fewer [16][17][18][19][20][21][22] The reported rates for salvage ELS are as follows: local relapses, 6% to 59%; 3-year RFS, 91% to 100%; and preservation of larynx, 50% to 71%. 10,[23][24][25][26] Our experience of about 35% recurrence after salvage ELS is consistent with the rates published in previous studies.…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Carbon Dioxide Laser Surgery for Glottic Cancer Recurrence After Radiotherapy

Ansarin

Planicka

Rotundo

et al. 2007

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Patients:The study, which was conducted between May 1999 and September 2005, included 37 consecutive patients (33 men and 4 women) with recurrent glottic cancer after radiotherapy. Selection criteria were as follows: rcTis, rcT1, or rcT2 with subglottic or supraglottic involvement of less than 5 mm and no arytenoid invasion; adequate laryngeal exposure; no previous open surgery; no contraindications to general anesthesia; and signed consent.Interventions: Endoscopic laser surgery with curative intent using types III to V cordectomies according to the European Laryngological Association.Main Outcome Measures: Five-year actuarial recurrence-free and overall survival, complications, and rate of laryngeal preservation. Results:The clinical classifications of the recurrences were rcTis (n=4), rcT1a (n=10), rcT1b (n=11), and rcT2 (n = 12). The pathologic classifications of the recurrences were rpT0 (n=2), rpTis (n=5), rpT1a (n=9), rpT1b (n=3), rpT2 (n=14), and rpT3 (n=4). The median follow-up was 44 months (range, 18-88 months). New recurrences developed in 13 patients (35%): 11 were treated by total laryngectomy, 1 by supracricoid laryngectomy, and 1 by chemotherapy. Three patients died of laryngeal cancer, 1 is alive with disease, and 1 died of a second cancer. Five-year actuarial recurrence-free and overall survival rates were 58% and 86%, respectively. The larynx was preserved in 26 patients (70%). Laryngeal stenosis was the most common major complication (in 3 of 4 women and 1 of 33 men).

show abstract

Section: Commentsupporting

confidence: 91%

Section: Commentmentioning

confidence: 99%

Endoscopic Carbon Dioxide Laser Surgery for Glottic Cancer Recurrence After Radiotherapy

Ansarin

Planicka

Rotundo

et al. 2007

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…This trend towards lower local control was not confirmed by data from Steiner et al [11••] and Del Bon et al [17]. However, Steiner et al did observe a higher rate of salvage laryngectomies in patients with AC involvement (29 versus 8%) [11••], which was also observed by De Gier et al (59 versus 44%) [23] and Roedel et al (39 versus 16%) [19]. …”

Section: Resultsmentioning

confidence: 87%

“…Most authors noticed higher rates of the development of a second recurrence following salvage TLM in patients with AC involvement when compared to patients with the AC free of tumor: second recurrence rates of 50 versus 11% [18], 71 versus 48% [23], 67 versus 8% [15], and 55 versus 29% [24], respectively, were reported. On univariate analysis, Han et al identified AC involvement as a negative prognostic factor for 3-and 5-year local control rates (51.9 versus 85.7% and 0 versus 64.2%, p = 0.09) [24].…”

Section: Resultsmentioning

confidence: 99%

Salvage Transoral Laser Microsurgery for Radiorecurrent Laryngeal Cancer: Indications, Limits, and Outcomes

Meulemans

Delaere

Nuyts

et al. 2017

Curr Otorhinolaryngol Rep

View full text Add to dashboard Cite

Purpose of ReviewThe aim of this report is to identify relevant literature reports on salvage transoral laser microsurgery (TLM); to consider its oncologic and functional outcomes, as well as reported complications; and to address indications and limitations of salvage TLM.FindingsThe weighted average of local control after first salvage TLM was 57%. Repeated TLM procedures for second or third recurrences were required in up to 41% of cases, resulting in a weighted average of local control with TLM alone of 67%. The rate of definite laryngeal preservation was 73%. The ultimate local control rate, including cases that required total laryngectomy, was 90%. The overall complication rate after salvage TLM was 14%.SummarySalvage TLM of radiorecurrent laryngeal cancer yields excellent oncologic outcomes. Serious complications are scarce, hospitalization times are short, and functional outcomes in terms of voice and swallowing are favorable when compared to open conservation laryngeal surgery. The key to success is an optimal patient selection.

show abstract

“…Repeated laser surgical resections of re-recurrences after previous radiotherapy are possible and may improve the local control as shown by Steiner et al who could increase the local control from initially 38 to 71% by repeated laser surgical resection [179]. Other authors report about local control rates of 50–82% after multiple laser resections carried out after primary radio(chemo)therapy [202], [203]. On the other hand, Roedel et al recommend to consider early salvage laryngectomy in cases of re-recurrences after transoral laser surgery because the local control after repeated transoral surgery seems to be a problem [196].…”

Section: Therapy Of Recurrences After Primary Radio(chemo)therapymentioning

confidence: 99%

Evidence and evidence gaps of laryngeal cancer surgery

Wiegand

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc03

View full text Add to dashboard Cite

CO2-laser treatment of recurrent glottic carcinoma

Cited by 47 publications

References 22 publications

Endoscopic Carbon Dioxide Laser Surgery for Glottic Cancer Recurrence After Radiotherapy

Endoscopic Carbon Dioxide Laser Surgery for Glottic Cancer Recurrence After Radiotherapy

Salvage Transoral Laser Microsurgery for Radiorecurrent Laryngeal Cancer: Indications, Limits, and Outcomes

Evidence and evidence gaps of laryngeal cancer surgery

Contact Info

Product

Resources

About