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Oncologic results of transoral laser microsurgery for squamous cell carcinoma of the posterior pharyngeal wall
Author(s) -
Canis Martin,
Wolff Hendrik A.,
Ihler Friedrich,
Matthias Christoph,
Steiner Wolfgang
Publication year - 2015
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.23571
Subject(s) - transoral laser microsurgery , medicine , microsurgery , neck dissection , basal cell , surgery , hypopharyngeal cancer , radiation therapy , dissection (medical) , overall survival , adjuvant radiotherapy , cancer , head and neck cancer
Background The purpose of this study was to evaluate oncologic outcomes of transoral laser microsurgery (TLM) in patients with cancer of the oropharyngeal and/or hypopharyngeal posterior wall. Methods Between August 1986 and December 2006, 25 patients (oropharyngeal n = 12; hypopharyngeal n = 13) were treated by primary CO 2 laser microsurgery. Treatment was exclusively TLM with or without selective neck dissection in 12 cases (48%); TLM with adjuvant (chemo)radiotherapy was performed in 13 cases (52%). Results Data were analyzed by using the Kaplan–Meier method. The median follow‐up was 41.6 months. The 5‐year overall, recurrence‐free, and disease‐specific survival rates for stages I/II were 36,5%, 60,0%, and 87,5% and for stages III/IVa 41,2%, 36,4%, and 56,3%, respectively. Conclusion With respect to local control and survival, results are comparable to conventional surgery. © 2014 Wiley Periodicals, Inc. Head Neck 37 : 156‐161, 2015