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Partial laryngectomy for recurrent glottic carcinoma after radiotherapy
Author(s) -
Sewnaik Aniel,
Meeuwis Cees A.,
van der Kwast Theo H.,
Kerrebijn Jeroen D. F.
Publication year - 2005
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20125
Subject(s) - laryngectomy , medicine , anterior commissure , radiation therapy , surgery , cancer , posterior commissure , laser surgery , carcinoma , larynx , commissure , laser , anatomy , physics , nucleus , psychiatry , optics
Background. Early laryngeal cancer is treated with surgery or radiotherapy. A partial laryngectomy instead of a total laryngectomy can be used for treating patients with radiation failures. Methods. Patients were grouped by the two types of partial laryngectomies we performed: group I, endoscopic laser surgery ( n = 42); and group II, frontolateral partial laryngectomy ( n = 21). Results. With CO 2 laser treatment, 14 of 24 patients (no involvement of the anterior commissure) and eight of 18 patients (involvement of the anterior commissure) were cured. With the frontolateral partial laryngectomy, we achieved local control in 15 of 21 patients. Conclusions. If the surgeon is familiar with the different techniques of, and indications for, partial laryngectomy, this can be a good and satisfying treatment in selected patients with radiation failure for glottic cancer. © 2004 Wiley Periodicals, Inc. Head Neck 27: 101–107, 2004