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Salvage Transoral Laser Microsurgery for Radiorecurrent Laryngeal Cancer: Indications, Limits, and Outcomes.
J Meulemans1,2, P Delaere1, S Nuyts3,4
1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.
Current Otorhinolaryngology Reports
|April 4, 2017
Summary
Salvage transoral laser microsurgery (TLM) offers excellent oncologic control for recurrent laryngeal cancer. This organ-preserving technique shows favorable functional outcomes and low complication rates when patients are carefully selected.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncology
Background:
- Recurrent laryngeal cancer presents a significant clinical challenge.
- Salvage treatment options aim to improve oncologic control while preserving laryngeal function.
Purpose of the Study:
- To review literature on salvage transoral laser microsurgery (TLM).
- To evaluate oncologic and functional outcomes, complications, indications, and limitations of salvage TLM.
Main Methods:
- Literature review of salvage transoral laser microsurgery (TLM) for laryngeal cancer.
- Analysis of oncologic outcomes (local control), functional results (laryngeal preservation), and complication rates.
Main Results:
- Weighted average local control after first salvage TLM was 57%.
- Definite laryngeal preservation rate was 73%, with an ultimate local control of 90% (including laryngectomy).
- Overall complication rate was 14%, with favorable voice and swallowing outcomes.
Conclusions:
- Salvage TLM provides excellent oncologic outcomes for radiorecurrent laryngeal cancer.
- It offers superior functional results and shorter hospitalizations compared to open surgery.
- Optimal patient selection is crucial for successful salvage TLM.