Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
DOI:
https://doi.org/10.34631/sporl.672Keywords:
Larynx, Neoplasms, Surgical Oncology, CO2 LASERAbstract
Objectives: Describe surgical results of transoral CO2 LASER Microsurgery for laryngeal cancer.
Material and methods: Retrospective analysis of 29 patients with oropharyngeal and laryngeal cancer submitted to transoral LASER microsurgery between 2009 and 2015 in the Hospital de Egas Moniz.
Results: Two patients had oropharyngeal cancer and 29 laryngeal cancer. The tumors were classified in Tis (2 cases), T1 (17 cases) and T2 (10 cases). Twenty-eight cordectomies (26 patients) were performed, 3 for tumor removal in supraglottis. Recession was performed always with negative margins. Three patients died during follow up (2 were not related with laryngeal tumor and 1 because of pulmonary mestastasis). One patient had ganglionar metastasis. In the postoperative period 3 patients developed synechias of the anterior comissure (assintomatic) and 2 developed dysphagia (1 temporary and 1 definitive).
Conclusion: Transoral CO2 LASER Microsurgery allows the removal of tumors of the larynx with good results and low morbidity.
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