Endolaryngeal diode laser surgery for early glottic carcinomas involving anterior commissure

Year 2017, Volume: 3 Issue: 2, 182 - 187, 04.07.2017

Umit Tuncel Caner Kilic

https://doi.org/10.18621/eurj.296461

Abstract

Objective. In this study, we present the
results of endolaryngeal diode laser surgery in patients with an early stage
laryngeal carcinoma involving the anterior commissure (AC). Methods.
A total of 108 patients (103 males, five females; mean age: 52.4 years; range;
31 to 75 years) who were treated between January 2010 and January 2015 were
included in this study. All patients with
glottic cancer had anterior commissure lesions. Complications, recurrence rates, and overall
survival associated with diode laser surgery were recorded. Results.
Based on the AC classification, the initial local control rate was 89.4% for
the AC0 tumors, 81.3% for the AC1 tumors, and 90% for the AC2 tumors. Five-year
disease-free and overall survival rates were 93.1% and 98.3, respectively. Conclusion.
This study provides evidence that microscopic endolaryngeal diode laser surgery
is a safe and effective option for the treatment of early glottic cancer
involving the AC. 

Keywords

anterior commissure, Glottic carcinoma, diode laser surgey, survival

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