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- Title
Transoral laser microsurgery for recurrent laryngeal and pharyngeal cancer
- Authors
Grant, David G.; Salassa, John R.; Hinni, Michael L.; Pearson, Bruce W.; Hayden, Richard E.; Perry, William C.
- Abstract
Study Design and Setting: A two-center prospective case series analysis. Patients: One hundred fourteen patients with previously treated laryngeal or pharyngeal squamous cell carcinoma who underwent salvage transoral laser microsurgery (TLM). Interventions: TLM in 114 patients, neck dissection in 22 (19%) patients, adjuvant radiotherapy in 12 (11%) patients. Results: Ninety-one (80%) patients had recurrent primary tumors whereas 23 (20%) patients had second primary tumors occur within a previously irradiated field. The minimum follow-up was 1 year (median, 3 years). The distribution of tumor location was oropharynx 52 (46%), glottic and subglottic larynx 44 (39%), supraglottic larynx 11 (10%), and pyriform/hypopharynx 7 (6%). Overall, three-year local and locoregional control estimates were 70 percent and 67 percent, respectively; and three-year survival and disease-free survival estimates were 62 percent and 64 percent, respectively. The average duration of hospitalization was 2.3 days. Four (3.5%) patients had significant postoperative bleeding. Two (<2%) patients had treatment-related deaths. Conclusions: Transoral laser microsurgery offers select patients an attractive alternative salvage surgical therapy to the recurrent and second primary tumor site.
- Subjects
CANCER patients; MEDICAL microscopy; TUMORS; RESPIRATORY organ tumors
- Publication
Otolaryngology-Head & Neck Surgery, 2008, Vol 138, Issue 5, p606
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1016/j.otohns.2007.12.046