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CO2-laser therapy for carcinoma of the larynx

Published online by Cambridge University Press:  29 June 2007

Knud Erik Outzen*
Affiliation:
Department of Otolaryngology, Aarhus University Hospital, Aarhus, Denmark.
Peter Illum
Affiliation:
Department of Otolaryngology, Aarhus University Hospital, Aarhus, Denmark.
*
Address for correspondence: Dr Knud Erik Outzen, ENT Department, Aarhus University Hospital, DK-8000 Aarhus C, Denmark.

Abstract

A retrospective study was undertaken to assess the outcome of 19 consecutive patients, who underwent endolaryngeal resection with a CO2-laser for laryngeal carcinomas. Sixteen of these patients had recurrences after primary curative radiotherapy. Seventeen of the patients had a curative operation carried out. So far, four CO2-laser treatment failures have been observed (median observation time 35 months). None of the patients needed tracheostomy in connection with the operation. Voice quality was in all cases acceptable.

It is recommended, that small recurrences (after radiotherapy of laryngeal squamous cell carcinomas)should be considered for a partial laryngectomy with the aid of a laser.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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References

Chiesa, E., Tradati, N., Costa, L., Podrecca, S., Boracchi, P., Garramone, R., Sala, L., Bartol, B., Molinari, R. (1991) CO2 laser surgery in laryngeal cancers: three year results. Tumori 77: 151154.CrossRefGoogle ScholarPubMed
Eckel, H. E., Thumfart, W. F. (1992) Laser surgery for the treatment of larynx carcinomas:indications, techniques and preliminary results. Annals of Otology, Rhinology and Laryngology 101: 113118.CrossRefGoogle ScholarPubMed
Kleinsasser, O. (1964) Mikrochirurgie im Kehlkopf. Archiv für Ohren- Nasen- und Kehlkopfheilkunde 183: 428433.CrossRefGoogle Scholar
Krepsi, Y. P., Meltzer, C. J. (1989) Laser surgery for vocal cord carcinoma involving the anterior commissure. Annals of Otology, Rhinology and Laryngology 98: 105109.Google Scholar
Lynch, A. C. (1920) Intrinsic carcinoma of the larynx, with a second report of cases operated on by suspension and dissection. Transactions of the American Laryngological Association 42: 119126.Google Scholar
Motta, G., Villari, G., Motta, G. Jr., Ripa, G., Salerno, G. (1987). The CO2-laser in the laryngeal microsurgery. Acta Oto-Laryngologica (Stockholm) 433.Google Scholar
Steiner, W. (1993) Results of curative laser microsurgery of laryngeal carcinomas. American Journal of Otolaryngology 14: 116121.CrossRefGoogle ScholarPubMed
Strong, M. S., Jako, G. J. (1972) Laser surgery in the larynx: early clinical experience with continuous CO2-laser. Annals of Otology, Rhinology and Laryngology 81: 791798.CrossRefGoogle Scholar
Vaughan, C. W., Strong, M. S., Shapshay, M. S. (1980) Treatment of T1 and in situ glottic carcinoma: the transoral approach. Otolaryngologic Clinics of North America 13: 509513.CrossRefGoogle ScholarPubMed
Wetmore, S. J., Key, M., Suen, J. Y. (1986) Laser therapy for T1 glottic carcinoma of the larynx. Archives of Otolaryngology, Head and Neck Surgery 112: 853855.CrossRefGoogle ScholarPubMed