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Laryngofissure and Cordectomy for Glottic Carcinoma Limited to the Mid Third of the Mobile True Vocal Cord
Author(s) -
Muscatello Luca,
Laccourreye Ollivier,
Biacabe Bernard,
Hans Stéphane,
Ménard Madeleine,
Brasnu Daniel
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199711000-00015
Subject(s) - cordectomy , medicine , tracheotomy , surgery , cord , laryngeal neoplasm , distant metastasis , medical record , carcinoma , larynx , metastasis , cancer
The objective of this study was to analyze the long‐term results of laryngofissure with cordectomy for invasive glottic squamous cell carcinoma limited to the mid third of the mobile true vocal cord. The authors conducted a retrospective review of the medical charts and operative files of 33 patients with invasive glottic carcinoma limited to the mid third of the mobile true vocal cord managed with laryngofissure and cordectomy. A 10‐year follow‐up was achieved in 30 patients (90.9%). Kaplan‐Meier actuarial analysis of survival, local control, nodal recurrence, distant metastasis, and second primary metachronous tumor was performed. The 5‐year actuarial survival, local control, nodal recurrence, and distant metastasis estimates were 97%, 100%, 0%, and 0%, respectively. Tracheotomy was never performed. The overall laryngeal preservation rate was 100%. The 5‐ and 10‐year actuarial metachronous second primary tumor estimates were 3% and 11.5%, respectively. The authors' experience suggested that laryngofissure and cordectomy should still be considered a valuable oncologic option for the management of invasive glottic carcinoma limited to the mid third of the mobile true vocal cord.