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Carbon dioxide laser cordectomy for verrucous carcinoma of vocal folds
R Hod1, R Feinmesser, J Shvero
1Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach-Tiqwa, Israel. royhod2@clalit.org.il
Background:
Verrucous carcinoma occurs infrequently in the vocal folds. This tumour has an excellent prognosis with proper treatment. Management strategies include surgery, radiotherapy or both.
Aim:
To evaluate the long-term results of type I and II laser cordectomy for the treatment of verrucous carcinoma of the vocal folds.
Materials And Methods:
We reviewed the files of 18 patients with verrucous carcinoma of the vocal folds treated by type I or II laser cordectomy in our department from 1989 to 2006, and recorded clinical and outcome data.
Results:
None of the patients had any major post-operative complications. All had a subjectively satisfactory quality of voice, with no morbidity. Patient follow up ranged from three to 228 months (mean, 48 months). Five patients were treated with post-operative radiotherapy for persistent disease, of whom four underwent repeated surgery due to recurrence.
Conclusion:
Type I or II laser cordectomy is a safe, feasible, secure method of treating verrucous carcinoma of the vocal folds. There were no major complications in our patient series. Most recurrent disease was manageable locally with repeated surgery.
