Laser cordectomies - Clinical cases in the last two years at Hospital Egas Moniz
DOI:
https://doi.org/10.34631/sporl.131Keywords:
radiotherapy, Laringectomy, recurrence, morbidity, voice qualityAbstract
Early Glottic Carcinomas can have different treatments according to the surgeon, institution or country where they are treated. Radiotherapy, parcial laringectomies and Transoral LASER surgery, are therapeutic options accepted with similar results in treatment of early glottic tumors. In the last years LASER Surgery has demonstrated to be an option with some advantages comparatively to other therapeutic options: good local control, low morbidity, good function preservation, low cost.
We have retrospective availed the patients of the otorhinolaringology Unit of Egas Moniz Hospital with early stage glottis carcinomas that underwent to endoscopic carbon dioxide laser treatment in the period between March 2009 and November 2010, comparing them with the international literature. We also tried to verify that LASER treatment is a safe technique, with good functional results, low morbidity and good loco regional control. We have diagnosed fourteen squamous cell glottic carcinoma in early stage in this period. Eight underwent a Transoral Cordectomy LASER.
The patients included in this study had a minimal follow-up of six months. None of our patients had tumor recurrence, and they all had a good laringeal function as well as vocal quality. We found that the treatment choice with endoscopic carbon dioxide laser in our patients had good oncologic results, a good benefit-cost ratio, low morbidity and low internment in hospital. We have concluded that it’s a safe therapeutic option, effective with good results in local control of the tumor.
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