Endolaryngeal CO2 Laser Microsurgery of Early Vocal Cord Cancer

Csanády, Miklós; Czigner, J.; Sávay, L.

doi:10.1159/000424377

Cited by 3 publications

(4 citation statements)

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“…Radiotherapy of the primary lesion was also considered, but CO 2 laser excision and radical neck dissection were decided upon because of size of the metastasis and the foreseeable shorter hospitalization of the patient. This was also supported by our more than 10 years' experience with endoscopic CO 2 laser treatment of laryngeal tumors [2,3] and the published results in the literature [9,10].…”

Section: Case Reportsupporting

confidence: 55%

“…Both the endoscopic excision of the tumor with the CO 2 laser and endoscopic laterofixation of the vocal cord are useful, minimally invasive methods with a reasonable indication. The CO 2 laser is generally accepted for early T1a, T1b vocal cord tumors [2][3][4]9] in selected cases can be used for marginal supraglottic tumors [5,9,11]. However, only a few reports recommend the endoscopic removal of small laryngopharyngeal tumors [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Combined use of endoscopic CO 2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

Csanády¹,

Rovó²,

Jóri³

2000

European Archives of Oto-Rhino-Laryngology

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We report the use of endoscopic laser excision of a marginal laryngeal tumor, radical neck dissection, and laterofixation of a paralyzed vocal cord in a 66-year-old man who had an early-stage right supraglottic endolaryngeal tumor and ipsilateral neck metastasis. He had a left vocal cord paralysis after a left pneumonectomy that was performed 5 years previously. The primary laryngeal tumor was excised by endoscopic CO2 laser resection, and a simultaneous radical neck dissection was carried out. Postoperatively, severe inspiratory dyspnea developed because of the surgical intervention on the right side causing moderate laryngeal edema and limited movement of the right vocal cord in addition to the paralyzed left side. An endolaryngeal laterofixation of the paralyzed left vocal cord was performed to provide the patient with an adequate airway instead of tracheostomy. This patient had a 2 years' follow-up without recurrence of tumor. In the meantime movement of the right vocal cord has returned, so that the patient's voice was socially acceptable and he has a functioning larynx.

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Section: Case Reportsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Combined use of endoscopic CO 2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

Csanády¹,

Rovó²,

Jóri³

2000

European Archives of Oto-Rhino-Laryngology

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“…Opinions on therapy vary across disciplines and between countries15 because both surgery and radiotherapy are equally effective 1–6. In recent years, transoral endoscopic laser resection has been accepted as an alternative to open partial laryngeal surgery and radiotherapy 16–25. Transoral endoscopic laser resection has not been traditionally employed in our practice, and therefore this report focuses only on our experience of open partial laryngectomy.…”

Section: Discussionmentioning

confidence: 99%

Analysis of postoperative complications of open partial laryngectomy

et al. 2009

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“…Transoral laser microsurgery is gaining popularity for the management of early glottic cancers, as it has been associated with voice preservation, a shorter treatment duration, and similar survival rates as radiotherapy according to a case series [ 108 - 114 ]. In addition, transoral laser microsurgery has some benefit compared to the conventional open partial laryngectomy, such as low morbidity, a reduced necessity of tracheostomy and/or nasogastric feeding, short hospital stay, and few sequelae related to surgical procedures [ 115 ].…”

Section: Guidelines For Surgical Treatment Of Laryngeal Cancermentioning

confidence: 99%

Guidelines for the Surgical Management of Laryngeal Cancer: Korean Society of Thyroid-Head and Neck Surgery

Ahn

Hong

Kwon

et al. 2017

Clin Exp Otorhinolaryngol

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Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to develop clinical practice guidelines for the surgical treatment of laryngeal cancer. This Task Force conducted a systematic search of the EMBASE, MEDLINE, Cochrane Library, and KoreaMed databases to identify relevant articles, using search terms selected according to the key questions. Evidence-based recommendations were then created on the basis of these articles. An external expert review and Delphi questionnaire were applied to reach consensus regarding the recommendations. The resulting guidelines focus on the surgical treatment of laryngeal cancer with the assumption that surgery is the selected treatment modality after a multidisciplinary discussion in any context. These guidelines do not, therefore, address non-surgical treatment such as radiation therapy or chemotherapy. The committee developed 62 evidence-based recommendations in 32 categories intended to assist clinicians during management of patients with laryngeal cancer and patients with laryngeal cancer, and counselors and health policy-makers.

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Endolaryngeal CO2 Laser Microsurgery of Early Vocal Cord Cancer

Cited by 3 publications

References 0 publications

Combined use of endoscopic CO 2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

Combined use of endoscopic CO 2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

Analysis of postoperative complications of open partial laryngectomy

Guidelines for the Surgical Management of Laryngeal Cancer: Korean Society of Thyroid-Head and Neck Surgery

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