Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences
Objective: The aim of our study was to demonstrate oncological outcomes and to point out our experiences in treating early-stage glottic cancers using diode laser microsurgery.Methods: This retrospective study was conducted from August 2009 to January 2016 at the Istanbul Education and Research Hosp...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2017-03-01
|
| Series: | İstanbul Medical Journal |
| Subjects: | |
| Online Access: |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/diode-laser-microsurgery-for-treatment-of-early-st/20424
|
| _version_ | 1797922631183237120 |
|---|---|
| author | Suat Bilici Ali Rıza Gökduman Özgür Yiğit |
| author_facet | Suat Bilici Ali Rıza Gökduman Özgür Yiğit |
| author_sort | Suat Bilici |
| collection | DOAJ |
| description | Objective: The aim of our study was to demonstrate oncological outcomes and to point out our experiences in treating early-stage glottic cancers using diode laser microsurgery.Methods: This retrospective study was conducted from August 2009 to January 2016 at the Istanbul Education and Research Hospital and included 43 patients affected by T1 and T2 glottic squamous-cell carcinoma (SCC) (n=42) and verrucous carcinoma (n=1) and treated endoscopically using diode laser (30 W, 980 nm). According to the Union for International Cancer Control/American Joint Cancer Committee’s (UICC/AJCC) 2002 laryngeal cancer classification, our carcinomas were classified as T1a in 33 (76.7%), T1b in 7 (16.3%), and T2 in 3 (7%) patients.Results: The case study included 42 males (97.6%) and 1 female (2.4%), aged 41–83 years, with a mean age of 61.4 years. Patient included in data analysis had a mean follow-up period of 31 months (range, 5–83). The 43 laser cordectomies performed were type II in 8 cases, type III in 10 cases, type IV in 7 cases, type Va in 7 cases, type Vb in 2 cases, type Vc in 7 cases, and type Vd in 2 cases. Local recurrence occurred in 5 patients (11.6%). The interval between the laser surgery and development of recurrence ranged from 13 to 81 months (median=28). Synechia and granuloma formation occurred on the anterior commissure in 7 patients (18.9). Overall survival, disease-free survival, ultimate local control, and laryngeal preservation rates at 2 years were 97.7%, 95.2%, 87.5%, and 92.6%, respectively.Conclusion: Diode laser microsurgery is a reliable surgical technique that offers good oncological outcome and functional results in the treatment of early-stage glottic cancer. |
| first_indexed | 2024-04-10T14:34:25Z |
| format | Article |
| id | doaj.art-f064650ee93a42be9860ec3723e7f9bf |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T14:34:25Z |
| publishDate | 2017-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-f064650ee93a42be9860ec3723e7f9bf2023-02-15T16:08:40ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2017-03-01181323610.5152/imj.2016.9672013049054Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our ExperiencesSuat Bilici0Ali Rıza Gökduman1Özgür Yiğit2 Department of Otorhinolaryngology, İstanbul Training and Research Hospital, İstanbul, Türkiye Department of Otorhinolaryngology, İstanbul Training and Research Hospital, İstanbul, Türkiye Department of Otorhinolaryngology, İstanbul Training and Research Hospital, İstanbul, Türkiye Objective: The aim of our study was to demonstrate oncological outcomes and to point out our experiences in treating early-stage glottic cancers using diode laser microsurgery.Methods: This retrospective study was conducted from August 2009 to January 2016 at the Istanbul Education and Research Hospital and included 43 patients affected by T1 and T2 glottic squamous-cell carcinoma (SCC) (n=42) and verrucous carcinoma (n=1) and treated endoscopically using diode laser (30 W, 980 nm). According to the Union for International Cancer Control/American Joint Cancer Committee’s (UICC/AJCC) 2002 laryngeal cancer classification, our carcinomas were classified as T1a in 33 (76.7%), T1b in 7 (16.3%), and T2 in 3 (7%) patients.Results: The case study included 42 males (97.6%) and 1 female (2.4%), aged 41–83 years, with a mean age of 61.4 years. Patient included in data analysis had a mean follow-up period of 31 months (range, 5–83). The 43 laser cordectomies performed were type II in 8 cases, type III in 10 cases, type IV in 7 cases, type Va in 7 cases, type Vb in 2 cases, type Vc in 7 cases, and type Vd in 2 cases. Local recurrence occurred in 5 patients (11.6%). The interval between the laser surgery and development of recurrence ranged from 13 to 81 months (median=28). Synechia and granuloma formation occurred on the anterior commissure in 7 patients (18.9). Overall survival, disease-free survival, ultimate local control, and laryngeal preservation rates at 2 years were 97.7%, 95.2%, 87.5%, and 92.6%, respectively.Conclusion: Diode laser microsurgery is a reliable surgical technique that offers good oncological outcome and functional results in the treatment of early-stage glottic cancer. http://imj.galenos.com.tr/archives/archive-detail/article-preview/diode-laser-microsurgery-for-treatment-of-early-st/20424 Glottic carcinomadiode lasertransoral microlaser surgery |
| spellingShingle | Suat Bilici Ali Rıza Gökduman Özgür Yiğit Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences İstanbul Medical Journal Glottic carcinoma diode laser transoral microlaser surgery |
| title | Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences |
| title_full | Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences |
| title_fullStr | Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences |
| title_full_unstemmed | Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences |
| title_short | Diode Laser Microsurgery for Treatment of Early-Stage Glottic Cancers: Oncological Outcomes and Our Experiences |
| title_sort | diode laser microsurgery for treatment of early stage glottic cancers oncological outcomes and our experiences |
| topic | Glottic carcinoma diode laser transoral microlaser surgery |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/diode-laser-microsurgery-for-treatment-of-early-st/20424
|
| work_keys_str_mv | AT suatbilici diodelasermicrosurgeryfortreatmentofearlystageglotticcancersoncologicaloutcomesandourexperiences AT alirızagokduman diodelasermicrosurgeryfortreatmentofearlystageglotticcancersoncologicaloutcomesandourexperiences AT ozguryigit diodelasermicrosurgeryfortreatmentofearlystageglotticcancersoncologicaloutcomesandourexperiences |