Endolaryngeal laser resection of larynx
https://doi.org/10.17650/2222-1468-2016-6-3-34-37
Abstract
Laryngeal cancer takes the leading position among malignant tumors of head and neck. Currently, endolaryngeal laser resection is the leading treatment option for localized processes (T1-T2). In the period from December 2014 to January 2016 such surgeries were performed in 76 patients in our clinic. Carcinoma in situ was detected in 19 (25 %), T1a in 27 (35 %), T1b in 24 (31 %), T2 in 6 (8 %) patients. As result of the planned histological examination, in all cases surgical procedures had microscopically radical character. Endolaryngeal CO2 -laser resections allow to perform enough large radical surgical interventions with satisfactory functional and cosmetic results, without compromising long-term outcomes.
About the Authors
A. M. MudunovRussian Federation
24 Kashirskoe Shosse, Moscow, 115478
M. V. Bolotin
Russian Federation
24 Kashirskoe Shosse, Moscow, 115478
References
1. Pratt L.W. Historical perspective. In: Ferlito A. Neoplasms of the Larynx. Edinburgh/ London: Churchill Livingstone.1993. P. 1–25.
2. Klaeinsasser O. Die Laryngomikroscope (Lupenlaryngoskopie) und ihre Bedeutung fur die Erkennung der Vorerkrankkungen und fruhformen des Stimmlipencarcinomas. Arch Ohren Nasen Kehlkopfh 1962;180:724–7.
3. Scalco A.N., Shipman W.F., Tabb H.G. Microscopic suspension laryngoscopy. Ann Otol Rhinol Laryngol 1960;69:1134–8.
4. Strong M.S. Laser management of premalignant lesions of the larynx. Can J Otolaryngol 1974;3:560–563.
5. Ossof R.H., Hotaling A.J., Karlan G., Sisson A. Laser in otolaryngology – head and neck surgery: retrospective analysis of complcations. Laryngoscope 1983;93:1287–9.
6. Koufmann J.A. The endoscopic management of early squamous carcinoma of the vocal cord with carbon dioxide surgical laser: clinical experience and a proposed subclassification. Otolaryngol Head and Neck Surg 1986;95:531–7.
7. Motta G., Eposito E., Cassiano B., Motta S. T1–T2–T3 glottic tumors: fifteen years experience with CO2 laser. Acta Otolaryngol Suppl (Stockh) 1997;527:155–9.
8. Steiner W. Results of curative laser microsurgery of laryngeal carcinomas. Am J Otolaryngol 1993;4:116–21.
9. Preuss S.F., Cramer K., Klussmann J.P. et al. Transoral laser surgery for laryngeal cancer: outcome, complications and prognostic factors in 275 patients. Eur J Surg Oncol 2009;35:235–40.
10. Canis M., Ihler F., Martin A. et al. Results of 226 patients with T3 laryngeal carcinoma after treatment with transoral laser microsurgery. Head Neck 2013 Apr 18.
Review
For citations:
Mudunov A.M., Bolotin M.V. Endolaryngeal laser resection of larynx. Head and Neck Tumors (HNT). 2016;6(3):34-37. (In Russ.) https://doi.org/10.17650/2222-1468-2016-6-3-34-37