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Current concepts and new horizons in conservation laryngeal surgery: An important part of multidisciplinary care
Author(s) -
Holsinger F. Christopher,
Nussenbaum Brian,
Nakayama Meijin,
Saraiya Sonal,
Sewnaik Aniel,
Ark Nebil,
Ferris Robert L.,
Tufano Ralph P.,
McWhorter Andrew J.
Publication year - 2010
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.21208
Subject(s) - medicine , cls upper limits , head and neck cancer , head and neck , general surgery , radiation therapy , surgery , multidisciplinary approach , social science , sociology , optometry
Abstract Background New surgical techniques in conservation laryngeal surgery (CLS) have emerged over the past 20 years and now offer a viable “organ‐preservation” approach for patients with laryngeal cancer. We review traditional and new CLS procedures and summarize the functional and oncologic outcomes of CLS in both primary and salvage settings. Methods We searched the literature by accessing Medline for articles from 1991 to 2007 on primary or salvage surgery (open and transoral) for laryngeal neoplasms. Conclusion Our review of the literature suggests that proper selection of patients for CLS can yield long‐term local control rates equal to or better than those obtained using radiation‐based approaches. We believe that CLS should be directly compared with radiation or chemoradiation to further refine the indications for each kind of treatment in cases of primary and recurrent/refractory laryngeal cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2010