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Updated: May 18, 2026
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Published on: March 18, 2020
Primary surgical treatment of T3 glottic carcinoma: long-term results and decision-making aspects
Konstantinos Mantsopoulos1, Georgios Psychogios, Christopher Bohr
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany. konstantinos.mantsopoulos@uk-erlangen.de
Objectives/Hypothesis:
The aim of this study was to assess the efficacy of primary surgical treatment in the management of T3 glottic carcinomas.
Study Design:
Retrospective clinical study.
Methods:
A retrospective evaluation of the records for all patients treated with primary surgery for T3 glottic carcinomas at a tertiary referral center between 1980 and 2005 was carried out. Data for the 5-year disease-specific survival (DSS) were assessed, as well as local control rates in relation to vocal cord immobility, N classification, choice of surgical modality, and adjuvant therapy. Patients who underwent partial laryngectomy were also evaluated in relation to organ preservation and the rate of permanent tracheotomies.
Results:
The 5-year DSS in the 120 patients was 78.3%. Positive neck disease was shown to be a significant negative prognostic factor. Organ preservation was achieved in 90.1% of the patients who underwent partial laryngectomy and in 50% of the overall patient group. The occult metastasis rate was 14%.
Conclusions:
Primary surgical treatment is an effective modality against T3 glottic carcinomas. Partial laryngectomy is a reliable method in carefully selected cases. Low complication rates can be expected.
