Is it Necessary to Perform Neck Dissections as a Staged Procedure in Laser Supraglottic Laryngectomy?

Rodrigo, Juan P.; Charlone, Rogelio; Cabanillas, Rubén; Llorente, José Luís; Suárez, Carlos

doi:10.1016/s2173-5735(08)70251-5

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Prospective comparative studies are lacking, however, and a single-stage procedure may be indicated in selected patients. 24 We perform neck dissection simultaneous with laser surgery at the initial or salvage surgery. When staged neck dissection is performed, the hospital stay is longer and the cost is higher.…”

Section: Discussionmentioning

confidence: 99%

Salvage Transoral Laser Supraglottic Laryngectomy after Radiation Failure: A Report of Seven Cases

Hong

Kim²,

Lee³

et al. 2013

Ann Otol Rhinol Laryngol

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Section: Discussionmentioning

confidence: 99%

Salvage Transoral Laser Supraglottic Laryngectomy after Radiation Failure: A Report of Seven Cases

Hong

Kim²,

Lee³

et al. 2013

Ann Otol Rhinol Laryngol

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Laser surgery for early to moderately advanced glottic, supraglottic, and hypopharyngeal cancers

et al. 2011

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Current practice standards for the treatment of early to moderately advanced laryngeal and hypopharyngeal cancer demand both achievement of cure and preservation of laryngeal structure and function to the greatest extent possible. The oncologic and functional results of transoral laser microsurgery (TLM) for early glottic cancer appear to be comparable to those of radiotherapy, with a higher rate of laryngeal preservation and a lower cost. TLM for early and moderately advanced supraglottic and hypopharyngeal cancers offers similar results with regard to survival and local control to those obtained with open surgical approaches. In addition, functional results of TLM are superior to those of open approaches because tracheotomies are usually avoided, rehabilitation of swallowing is faster, and hospital stay is shorter. TLM, when applicable, has become the preferred modality for surgical treatment of most early to moderately advanced cancers of the larynx and selected tumors of the hypopharynx.

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Transoral Laser Surgery for Supraglottic Carcinoma

Hong

Lee

2013

Medical Lasers

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Primary treatment modalities of supraglottic cancer usually consist of single or combined methods. Treatment protocols include single transoral surgery, external transcervical approach, and radiation therapy or a combination of these methods. The objective of surgery for supraglottic cancer is cure of the tumor, with preservation of voice, deglutition, and an intact airway. Transoral laser surgery is found to achieve comparable oncologic results with open surgery. Moreover, the complication rate was lower in laser surgery compared to the conventional open approaches and there were no major complications. Transoral laser supraglottic laryngectomy seems to be a feasible and oncologically safe procedure in the treatment of fresh or recurrent supraglottic cancer ranging from T1 to selected T3 with minimal preepiglottic space involvement.

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Is it Necessary to Perform Neck Dissections as a Staged Procedure in Laser Supraglottic Laryngectomy?

Cited by 3 publications

References 24 publications

Salvage Transoral Laser Supraglottic Laryngectomy after Radiation Failure: A Report of Seven Cases

Salvage Transoral Laser Supraglottic Laryngectomy after Radiation Failure: A Report of Seven Cases

Laser surgery for early to moderately advanced glottic, supraglottic, and hypopharyngeal cancers

Transoral Laser Surgery for Supraglottic Carcinoma

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