CO2 transoral microsurgery for supraglottic squamous cell carcinoma
Carta F., Mariani C., Sambiagio G. B., Chuchueva N. D., Lecis E., Gerosa C., Puxeddu R.
Frontiers in Oncology
Vol.8, Num.321
Опубликовано: 2018
Тип ресурса: Статья
DOI:10.3389/fonc.2018.00321
Аннотация:
The present study analyzed the results of the endoscopic approach to T1, T2 and selected T3 supraglottic carcinoma with the aim of reviewing functional and oncologic outcomes after different types of endoscopic supraglottic laryngectomies. This is a retrospective clinical study of 42 consecutive patients (mean age of 61.8 years, 33 males, 9 females) treated by the senior author for supraglottic squamous cell carcinoma with a transoral CO2 laser approach and reviewed from November 2010 to September 2017. Surgical procedures were classified according to the European Laryngological Society. In addition to the standardized transoral supraglottic laryngectomies, we introduced a modified type IVb by sparing the inferior third of the arytenoid if not directly involved in the tumor. Swallowing was evaluated with the Swallowing Performance Status Scale reported by the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology. Survival probabilities were estim
Ключевые слова:
CO2 laser; Endoscopic surgery; Functional results; Microlaryngoscopy; Supraglottic carcinoma; Swallowing
cisplatin; fluorouracil; adjuvant radiotherapy; adult; aged; Article; aspiration pneumonia; assessment of humans; cancer patient; cancer recurrence; cancer staging; cancer surgery; cancer survival; clinical article; cohort analysis; disease specific survival; dysphagia; feeding; female; follow up; human; Kaplan Meier method; laryngectomy; larynx squamous cell carcinoma; laser surgery; local recurrence free survival; male; medical society; middle aged; multiple cycle treatment; neck dissection; neoadjuvant chemotherapy; nodal relapse free survival; overall survival; patient history of radiotherapy; patient history of surgery; postoperative hemorrhage; recurrence free survival; retrospective study; surgical patient; survival analysis; survival rate; survival time; swallowing; Swallowing Performance Status Scale; very elderly
Язык текста: Английский
ISSN: 2234-943X
Carta F.
Mariani C.
Sambiagio G. B.
Chuchueva N. D. Nataliya Dmitrievna 1989-
Lecis E.
Gerosa C.
Puxeddu R.
Cарта Ф.
Мариани C.
Самбиагио Г. Б.
Чучуева Н. Д. Наталия Дмитриевна 1989-
Леcис Е.
Героса C.
Пухедду Р.
CO2 transoral microsurgery for supraglottic squamous cell carcinoma
Текст визуальный непосредственный
Frontiers in Oncology
Vol.8 Num.321
2018
Статья
CO2 laser Endoscopic surgery Functional results Microlaryngoscopy Supraglottic carcinoma Swallowing
cisplatin fluorouracil adjuvant radiotherapy adult aged Article aspiration pneumonia assessment of humans cancer patient cancer recurrence cancer staging cancer surgery cancer survival clinical article cohort analysis disease specific survival dysphagia feeding female follow up human Kaplan Meier method laryngectomy larynx squamous cell carcinoma laser surgery local recurrence free survival male medical society middle aged multiple cycle treatment neck dissection neoadjuvant chemotherapy nodal relapse free survival overall survival patient history of radiotherapy patient history of surgery postoperative hemorrhage recurrence free survival retrospective study surgical patient survival analysis survival rate survival time swallowing Swallowing Performance Status Scale very elderly
The present study analyzed the results of the endoscopic approach to T1, T2 and selected T3 supraglottic carcinoma with the aim of reviewing functional and oncologic outcomes after different types of endoscopic supraglottic laryngectomies. This is a retrospective clinical study of 42 consecutive patients (mean age of 61.8 years, 33 males, 9 females) treated by the senior author for supraglottic squamous cell carcinoma with a transoral CO2 laser approach and reviewed from November 2010 to September 2017. Surgical procedures were classified according to the European Laryngological Society. In addition to the standardized transoral supraglottic laryngectomies, we introduced a modified type IVb by sparing the inferior third of the arytenoid if not directly involved in the tumor. Swallowing was evaluated with the Swallowing Performance Status Scale reported by the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology. Survival probabilities were estim