Oncologic and functional outcomes of transoral CO2 laser cordectomy for early glottic cancer

被引：10

作者：

del Mundo, Daryl Anne A. ^{[1
,3
,4
]}

Morimoto, Koichi ^{[1
]}

Masuda, Kuriko ^{[5
]}

Iwaki, Shinobu ^{[1
]}

Furukawa, Tatsuya ^{[1
]}

Teshima, Masanori ^{[1
]}

Shinomiya, Hirotaka ^{[1
]}

Miyawaki, Daisuke ^{[2
]}

Otsuki, Naoki ^{[1
]}

Sasaki, Ryohei ^{[2
]}

Nibu, Ken-ichi ^{[1
]}

机构：

[1] Kobe Univ, Dept Otolaryngol Head & Neck Surg, Grad Sch Med, Kobe, Hyogo, Japan

[2] Kobe Univ, Div Radiat Oncol, Grad Sch Med, Kobe, Hyogo, Japan

[3] Univ Philippines Manila, Dept Otorhinolaryngol, Manila, Philippines

[4] Philippine Gen Hosp, Manila, Philippines

[5] Canadian Acad, Kobe, Hyogo, Japan

来源：

AURIS NASUS LARYNX | 2020年 / 47卷 / 02期

关键词：

Transoral CO2 laser cordectomy; Early glottic cancer; LASER-SURGERY; ENDOSCOPIC CORDECTOMY; VOICE; RADIOTHERAPY; CLASSIFICATION; MICROSURGERY; COMMITTEE; PROPOSAL;

D O I：

10.1016/j.anl.2019.08.005

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: To investigate the oncological and functional outcomes of the patients treated with transoral CO2 laser cordectomy for early glottic cancer. Patients and methods: Fifty-five consecutive patients who underwent CO2 laser cordectomy for early glottic cancer were retrospectively reviewed. Results: Overall survival, larynx preservation, and relapse free local control rates were 96%, 100%, and 91%, respectively. Five patients with local recurrences were salvaged with re-cordectomy and/or radiotherapy. In type I cordectomy, VHI-10 consistently improved during postoperative course and VHI-10 at postoperative 12 months was significantly better than preoperative value (2.3 vs. 9.4, p = 0.02). Perceptual grading, MPT, MFR and AC/DC also improved and were better than preoperative values. In type III cordectomy, shimmer at 12 months after cordectomy was significantly better than preoperative value (14.7 vs. 9.3, p = 0.007). Conclusions: These results further support the rationale of CO2 cordectomy as initial and salvage surgery for early glottic cancer. (C) 2019 Published by Elsevier B.V.

引用

页码：276 / 281

页数：6

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