gms | German Medical Science

86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

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

13.05. - 16.05.2015, Berlin

Our overall experience treating laryngeal carcinomas using transoral microelectrodes surgery

Meeting Abstract

  • corresponding author Jorge Basterra - Valencia General University Hospirtal, Valencia, Spain
  • Francisco Esteban - Sevilla Medical School. ENT Department. University of Sevilla. Hospital Virgen d, Sevilla, Spain
  • Rosa M. Reboll - Valencia General University Hospirtal, Valencia, Spain
  • Enrique Zapaer - Valencia General University Hospirtal, Valencia, Spain

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod169

doi: 10.3205/15hnod169, urn:nbn:de:0183-15hnod1694

Published: March 26, 2015

© 2015 Basterra et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License. You are free: to Share - to copy, distribute and transmit the work, provided the original author and source are credited. See license information at http://creativecommons.org/licenses/by-nc-nd/3.0/.


Outline

Text

Introduction: We describe a surgical technique for the resection of laryngeal carcinomas using microelectrodes, and report our total results.

Material and methods: A total of 127 patients with glottic (66 T1, 6 T2 and 1 T3) and supraglottic (23 T1, 14 T2 and 17 T3) carcinomas underwent surgery using microelectrodes from January 2003 to January 2009. Minimum follow-up 5 years.

The following patient parameters were compiled: tumor location, T stage, age, sex, tracheostomy, requirement for nasogastric feeding, duration of hospital stay, and times for decannulation and recurrences.

Results: Thirty-one patients required a tracheostomy. A nasogastric feeding tube was indicated in fourteen cases. Postoperative complications were observed in five patients. The duration of hospital stay ranged from 1 to 90 days postoperatively, 120 cases remained in hospital for less than 10 days, in six patients the hospital stay ranged between 10-20 days. There were 14 cases with local recurrence (11%). Nine patients required total laryngectomy as a second surgical procedure. Six patients had a second laryngeal tumor after 2 years of evolution (4.7%).

Conclusions: All tumors that are resectable with CO2 laser can be resected using microelectrodes with similar oncological and functional results. Nevertheless ME have advantages over CO2 laser such as: shorter operating time, improved hemostasis, the ability to cut at an angle, a direct and real sense of “touch” through the instruments, excellent visualization with the high-intensity operating microscope light, easier handling of instruments and very low equipment costs.

Der Erstautor gibt keinen Interessenkonflikt an.