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During the period from 1978 to August, 1984, 66 patients with carcinoma of the larynx were treated with the use of CO2 laser at Kurume University Hospital. Results are summarized as follows: 1)Thirty patients who had no previous treatments were treated with laser alone. Of the 30, 3 were Tis cases, 18 were Tla, 7 were Tlb, 2 were T2. Nine patients developed recurrence. 8 patients received second treatments and they are alive with no evidence of disease. The other rejected to have further treatment and died of an intercurrent disease. 2)Thirty-two patients who had no previous treatments were treated with laser and radiotherapy. Of the 32, 10 were T1a cases, 14 were T1b cases, 8 were T2 cases. Seven patients developed recurrence. They were further treated with varying modalities and are alive without any evidence of disease. 3)Four patients were radiation failure. Three of them were rT1a and 1 was rT1b. They were treated with laser alone. Three are alive and the other died of an intercurrent disease. None of the 4 developed local recurrence.

A REVIEW OF CO2 LASER SURGERY FOR CARCINOMA OF THE LARYNX