gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Laser-laryngomicrosurgery is the best treatment option for early glottic carcinoma

Meeting Abstract

Suche in Medline nach

  • corresponding author Jenő Czigner - Dept. Otorhinolaryngology, Szeged, Hungary
  • Robert Paczona - Dept. Otorhinolaryngology, Szeged, Hungary
  • Miklós Csanády - Dept. Otorhinolaryngology, Szeged, Hungary
  • László Iván - Dept. Otorhinolaryngology, Szeged, Hungary

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno38

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Veröffentlicht: 8. Juli 2008

© 2008 Czigner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Objectives: Twenty years of experiences with 332 endoscopic-microscopic laser-cordectomy on 289 patients for early glottic carcinoma. Familiarization with the practicability of this surgery in relation to the stages of vocal cord lesions resulted in subgroups i.e. “superficial”, “partial”, “total” and “extended” cordectomy which was adapted by the E. L. S. (2000).

Methods: The present study is based on a retrospective clinical-pathological analysis of "en bloc" resected glottic specimens and patient's charts obtained from 232 patients having vocal cord carcinoma treated by endoscopic-microscopic laser surgery.

Results: For minimum 3-year follow-up (May 1987–March 2004), the endoscopic CO2-laser surgery alone controlled the early vocal cord carcinoma in 87%, 13% required salvage therapy. After ”laser-salvage”, the local control rate was mounted to 93%, and with the conventional salvage therapy finally resulted in 97 %. The organ preservation’s rate achieved 96%, and 8 patients had lost their larynges.

Voice quality became worse in the postoperative period, but improved later significantly.

Conclusions: Based on 20 years of experience with laser-cordectomy, the excellent re-treatment options in case of local failure and these favorable oncological results, endoscopic minimally invasive laser cordectomy should be the first choice of treatment for early glottic cancer.

Radiotherapy and open partial laryngectomy should be reserved for salvage therapy.