gms | German Medical Science

82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Surgical technique and results of 83 laringeal carcinomas operated trans-orally with microelectrodes

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  • corresponding author Jorge Basterra - General Hospital and Medical School, Valencia, Spain
  • R. Reboll - ENT Dep. Valencia Med. School, Valencia, Spain
  • E. Zapater - ENT Dep. Valencia Med. School, Valencia, Spain

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod161

doi: 10.3205/11hnod161, urn:nbn:de:0183-11hnod1615

Published: April 19, 2011

© 2011 Basterra et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: We describe the surgical technique for the resection of laryngeal carcinomas using microelectrodes (MEs), and also report our oncologic and functional results.

Material and method: Retrospective study of 83 patients with T1, T2 or T3 glottic and supraglottic carcinoma and operated using MEs.The following parameters were compiled: tumor location, TNM stage, age, gender, tracheostomy, neck dissections, requirement of nasogastric feeding, duration of hospital stay, time of decannulation, recurrences and metastases.

Results: Eight patients required tracheostomy. Nasogastric feeding was indicated in eight cases. The duration of hosspital stay ranged from 1 to 20 days post-operatively (median, 2.9 days). The length of follow-up ranged from 6 to 60 months. There were seven cases with local recurrences (8.5%). Three patients required total laryngectomy as second operation procedure. Three patients had a second laryngeal tumor after two years of evolution (3.6%).

Conclusions: All tumors that are resectable with a CO2 laser can be resected with MEs, with the following advantages: shorter operating time; improved hemostasis; cutting in angle is possible; the sense of “touch” with MEs is direct and real through the instrument; excellent visualization with full lighting by the operating microscope; easier handling of instruments; and lower equipment costs.