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Technique of En Block Laser Endoscopic Frontolateral Laryngectomy for Glottic Cancer
Author(s) -
Zeitels Steven M.,
Dailey Seth H.,
Burns James A.
Publication year - 2004
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 - 10.1097/00005537-200401000-00033
Subject(s) - laryngectomy , transoral laser microsurgery , medicine , resection , laser surgery , surgery , cancer , cordectomy , block (permutation group theory) , larynx , glottis , general surgery , laser , mathematics , optics , physics , geometry
Abstract During the last 30 years, there has been expansion of the role of endoscopic partial laryngectomy procedures since Jako, Strong, and Vaughan explored the possibilities of CO 2 laser microlaryngeal procedures. Despite the fact that a number of investigators have verified the validity of endolaryngeal laser resection of mid‐sized glottic cancer, there are many who are unfamiliar with the technique and others who are uncomfortable with sectioning the tumor to facilitate its resection. In the past 3 years, 15 patients underwent successful en block resection of mid‐sized glottic cancer (T1b 2, T2b 11, T3 2). Because en block resection is more consistent with open oncologic approaches, this method should widen the acceptance of this approach in selected lesions. The nuances of en block endoscopic frontolateral laryngectomy are presented with the hope that more surgeons will adopt this philosophy as an aspect of their armamentarium.