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Related Experiment Videos

Laryngofissure and cordectomy.

J F Daly, F N Kwok

    The Laryngoscope
    |August 1, 1975
    PubMed
    Summary

    Laryngofissure and cordectomy offers high cure rates for vocal cord cancer confined to the membranous cord. However, radiation therapy and hemilaryngectomy are increasingly preferred for better voice preservation and wider applicability.

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    Area of Science:

    • Otolaryngology
    • Oncology
    • Surgical Oncology

    Background:

    • Laryngofissure and cordectomy is an early surgical technique for vocal cord cancer.
    • It achieves high cure rates (85-98%) when lesions are limited to the membranous vocal cord with preserved motion.

    Purpose of the Study:

    • To review the historical significance and current role of laryngofissure and cordectomy in vocal cord cancer treatment.
    • To compare its efficacy and indications against modern alternatives like radiation therapy and hemilaryngectomy.

    Main Methods:

    • Review of historical surgical outcomes for laryngofissure and cordectomy.
    • Comparison of cure rates and functional outcomes (voice preservation) with radiation therapy and hemilaryngectomy.

    Main Results:

    • High cure rates reported for early-stage vocal cord cancer treated with laryngofissure and cordectomy.
    • Radiation therapy offers comparable cure rates with better voice preservation, leading to decreased use of laryngofissure.
    • Hemilaryngectomy is increasingly used for broader applicability, especially for anterior commissure involvement.

    Conclusions:

    • Laryngofissure and cordectomy remains a viable option for select cases of early vocal cord cancer requiring a less extensive procedure.
    • The shift towards radiation therapy and hemilaryngectomy reflects advancements in cancer treatment prioritizing both oncologic control and functional outcomes.

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