CO2 laser cordectomy for T1–T2 glottic cancer

oncological and functional long-term results

Giulia Bertino, Giulia Degiorgi, Carmine Tinelli, Salvatore Cacciola, Antonio Occhini, Marco Benazzo

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The purpose of this study was to assess the validity of CO2 laser cordectomy in the treatment of early glottic cancer and to determine the impact of margin status on disease-free survival and of the operation on voice quality. This is a retrospective review of 169 patients. Quantitative and qualitative variables were statistically compared. The impact on overall and disease-free survivals of different variables was calculated by univariate and multivariate analyses. Ten-year overall and disease free-survivals were 75 % and 60 %, respectively. Age and clinical stage showed a significant negative impact on overall survival, while margin status both on overall and disease-free survivals. The degree of dysphonia was directly related to the extension of the resection. This series confirms the good oncologic and functional outcomes of laser surgery for Tis, T1 and selected T2 glottic tumors. Patients with positive margins should undergo a further treatment or a very close follow-up.

Original languageEnglish
Pages (from-to)2389-2395
Number of pages7
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume272
Issue number9
DOIs
Publication statusPublished - Apr 21 2015

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Tongue Neoplasms
Gas Lasers
Disease-Free Survival
Voice Quality
Dysphonia
Laser Therapy
Tongue
Multivariate Analysis
Survival
Therapeutics
Neoplasms

Keywords

  • Early glottic cancer
  • Larynx
  • Laser cordectomy
  • Surgical margins
  • Voice preservation

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

CO2 laser cordectomy for T1–T2 glottic cancer : oncological and functional long-term results. / Bertino, Giulia; Degiorgi, Giulia; Tinelli, Carmine; Cacciola, Salvatore; Occhini, Antonio; Benazzo, Marco.

In: European Archives of Oto-Rhino-Laryngology, Vol. 272, No. 9, 21.04.2015, p. 2389-2395.

Research output: Contribution to journalArticle

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