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[Laser cordectomy: oncologic outcome and functional results]
A López Llames1, F Núñez Batalla, J L Llorente Pendás
1Servicio ORL, Hospital Central de Asturias, Oviedo. aurora@seorl.net
Acta Otorrinolaringologica Espanola
|April 28, 2004
Summary
Endoscopic CO2 laser cordectomy effectively treats early glottic cancer, achieving high local control and survival rates with minimal impact on quality of life.
Area of Science:
- Otolaryngology
- Oncology
- Laser Surgery
Context:
- Early glottic carcinoma presents treatment options including radiation and endoscopic laser surgery.
- Endoscopic CO2 laser surgery offers a minimally invasive approach for laryngeal neoplasms.
Purpose:
- To evaluate the efficacy and outcomes of endoscopic CO2 laser cordectomy in treating early glottic carcinoma.
- To assess speech, physical, emotional, and functional well-being post-treatment.
Summary:
- Retrospective analysis of 64 patients with Tis, T1, and T2 glottic carcinoma treated with endoscopic CO2 laser excision.
- Achieved 96% local control, 100% cause-specific survival, and 98% overall survival.
- Voice quality was impacted, but the overall quality of life showed minimal negative effects.
Impact:
- Endoscopic CO2 laser cordectomy is a viable alternative to radiation for early glottic cancer.
- Demonstrates favorable oncological outcomes and acceptable voice function.
- Supports a good quality of life for patients with early-stage laryngeal cancer.