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- Title
Outcome of transoral laser microsurgery for T2-T3 tumors growing in the laryngeal anterior commissure.
- Authors
Blanch, José-Luis; Vilaseca, Isabel; Caballero, Miguel; Moragas, Miguel; Berenguer, Joan; Bernal-Sprekelsen, Manuel
- Abstract
Background To evaluate the outcomes of transoral laser microsurgery (TLM) in the treatment of T2 to T3 laryngeal carcinomas growing in the laryngeal anterior commissure. Methods This study was a retrospective analysis of 107 patients. Overall survival, disease-specific survival, and laryngectomy-free survival were analyzed. Technical difficulties, postoperative complications, influence of the learning curve, and the number of surgeries were evaluated. Results Five-year overall survival, disease-specific survival, and laryngectomy-free survival were 71%, 79.5%, and 71.4%, respectively. The probability of tumor relapse was related to the status of the margins ( p = .01) and to surgical experience ( p = .02), but not to tumor exposure ( p = .78) or pT category ( p = .36). Disease-specific survival differed significantly between the group of patients treated in the early period of surgical experience and those treated in the advanced period of surgical experience (71% vs 94%; p = .02) Conclusion TLM is a useful treatment for T2 to T3 laryngeal carcinomas growing in the laryngeal anterior commissure when it is performed under an advanced learning curve. © 2010 Wiley Periodicals, Inc. Head Neck, 2010
- Subjects
MICROSURGERY; LARYNGECTOMY; LARYNGEAL tumors; LARYNGEAL surgery; ANTERIOR commissure; PRESERVATION of organs, tissues, etc.; RETROSPECTIVE studies
- Publication
Head & Neck, 2011, Vol 33, Issue 9, p1252
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.21605