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Transoral resection of laryngeal and hypopharyngeal cancers

  • Surgical Technique
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Abstract

The advent of transoral microlaryngoscopic laser surgery is making a significant impact on treatment decisions in the management of early squamous cancers of the larynx and the hypopharynx. It has, to a great extent replaced the conventional open partial laryngectomy procedures. Moreover many cancers of the larynx or the hypopharynx that were earlier being treated with radiation therapy are now resected transorally with the CO2 laser. This article focuses on the progress of transoral laser microsurgery in the management of early larygopharyngeal cancers.

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References

  1. Hans E. Current status of endoscopic laser surgery in head and neck surgical oncology. Otorhinolaryngol Nova. 2003;12:21–32.

    Google Scholar 

  2. Chawla S, Carney AS. Organ preservation surgery for laryngeal cancer. Head Neck Oncol. 2009; 1(1):12.

    Article  PubMed  Google Scholar 

  3. Brumund KT, Gutierrez-Fonseca R, Garcia D, Babin E, Hans S, Laccourreye O. Frontolateral vertical partial laryngectomy without tracheotomy for invasive squamous cell carcinoma of the true vocal cord: a 25-year experience. Ann Otol Rhinol Laryngol. 2005;114(4):314–322.

    PubMed  Google Scholar 

  4. Myers EN, Alvi A. Management of carcinoma of the supraglottic larynx: evolution, current concepts, and future trends. Laryngoscope. 1996; 106(5 Pt1):559–567.

    Article  CAS  PubMed  Google Scholar 

  5. Wein RO, Weber RS. The current role of vertical partial laryngectomy and open supraglottic laryngectomy. Curr Probl Cancer. 2005;29(4):201–214.

    Article  PubMed  Google Scholar 

  6. Köllisch M, Werner JA, Lippert BM, Rudert H. Functional results following partial supraglottic resection. Comparison of conventional surgery vs. transoral laser microsurgery. Adv Otorhinolaryngol. 1995;49: 237–240.

    PubMed  Google Scholar 

  7. Lutz CK, Johnson JT, Wagner RL, Myers EN. Supraglottic carcinoma: patterns of recurrence. Ann Otol Rhinol Laryngol. 1990;99(1):12–17.

    CAS  PubMed  Google Scholar 

  8. Weber PC, Johnson JT, Myers EN. The impact of bilateral neck dissection on pattern of recurrence and survival in supraglottic carcinoma. Arch Otolaryngol Head Neck Surg. 1994;120(7):703–706.

    CAS  PubMed  Google Scholar 

  9. Rodrigo JP, Suárez C, Silver CE, Rinaldo A, Ambrosch P, Fagan JJ, Genden EM, Ferlito A. Transoral laser surgery for supraglottic cancer. Head Neck. 2008;30(5):658–666.

    Article  PubMed  Google Scholar 

  10. Iro H, Waldfahrer F, Altendorf-Hofmann A, Weidenbecher M, Sauer R, Steiner W. Transoral laser surgery of supraglottic cancer: follow-up of 141 patients. Arch Otolaryngol Head Neck Surg. 1998;124(11):1245–1250.

    CAS  PubMed  Google Scholar 

  11. Sun DI, Cho KJ, Cho JH, Joo YH, Jung CK, Kim MS. Pathological validation of supracricoid partial laryngectomy in laryngeal cancer. Clin Otolaryngol. 2009;34(2):132–139.

    Article  PubMed  Google Scholar 

  12. Akst LM, Strome M. Laser Surgery for Head and Neck Cancer. In Recent Clinical Progress and Prospects for the Future. Series: Current Clinical Oncology. (ed.) Adelstein DJ, Squamous Cell Head and Neck Cancer: Springer, 2005; pp. 43–57.

  13. Steiniger JR, Parnes SM, Gardner GM. Morbidity of combined therapy for thetreatment of supraglottic carcinoma: supraglottic laryngectomy and radiotherapy. Ann Otol Rhinol Laryngol. 1997;106(2):151–158.

    CAS  PubMed  Google Scholar 

  14. Yeager LB, Grillone GA. Organ preservation surgery for intermediate size (T2 and T3) laryngeal cancer. Otolaryngol Clin North Am. 2005; 38(1):11–20, vii.

    Article  PubMed  Google Scholar 

  15. Sheen TS, Ko JY, Chang YL. Partial vertical laryngectomy in the treatment of early glottic cancer. Ann Otol Rhinol Laryngol. 1998;107(7):593–597.

    CAS  PubMed  Google Scholar 

  16. Sachse F, Stoll W, Rudack C. Evaluation of treatment results with regard to initial anterior commisure involvement in early glottic carcinoma treated by external partial surgery or transoral laser microresection. Head Neck 2009;31(4):531–537.

    Article  PubMed  Google Scholar 

  17. LeRoux-Bradley PJ, Ferlito A, Suarez C, Werner JA, Genden EM, Shaha AR, Leemans CR, Langendijk JA, Rinaldo A. Options for salvage commisure squamous carcinoma. Eur Arch Otorhinolaryngol, 2006; 263(10):889–894.

    Article  Google Scholar 

  18. Rodel RM, Steiner W, Muller RM, Kron M, Matthias C. Endoscopic laser surgery of early glottic cancer: involvement of the anterior commisure. Head Neck. 2009;31(5): 583–592.

    Article  PubMed  Google Scholar 

  19. Lang FJW, Monnier P. Le traitment endoscopique des synechies glottiques. In: OR21, Problems actuels d’Otorhinolaryngologie. Verlag Hans Huber; 1998, Bern, pp 314–324.

  20. Casiano RR, Lundy DS. Outpatient transoral laser vaporization of anterior glottis webs and keel placement: risks of airway compromise. J Voice. 1998;12:536–553.

    Article  CAS  PubMed  Google Scholar 

  21. Grant DG, Salassa JR, Hinni ML, Pearson BW, Hayden RE, Perry WC. Transoral laser microsurgery for recurrent laryngeal and pharyngeal cancer. Otolaryngol Head Neck Surg. 2008;138:606–613.

    Article  PubMed  Google Scholar 

  22. Roh JL, Kim DH, Park CI. The utility of second-look operation after laser microresection of glottis carcinoma involving the anterior commisure. Laryngoscope 2008;118: 1400–1404.

    Article  PubMed  Google Scholar 

  23. Jonathan C. Smith, Jonas T. Johnson, David M. Cognetti, Douglas P. Landsittel, William E. Gooding, Elmer R. Cano, Eugene N. Myers. Quality of life, functional outcome, and costs of early glottic cancer. The Laryngoscope 2009;113(1):68–76.

    Article  Google Scholar 

  24. Chen SW, Tsai MH, Yang SN, Liang JA, Shiau AC, Lin FJ. Hypopharyngeal cancer treatment based on definitive radiotherapy: who is suitable for laryngeal preservation? J Laryngol Otol. 2008;122(5):506–512.

    Article  PubMed  Google Scholar 

  25. Nakayama M, Takahashi H, Yao K. Limited surgery for cancer of the larynx and hypopharynx: Options and consequences. Acta Oto-laryngologica 2002;122(4):41–45.

    Article  Google Scholar 

  26. Rudert, HH. The CO2 laser in the management of hypopharyngeal cancer. Current opinion in otolaryngology and Head and Neck Surgery. 2002;10(2):118–122.

    Article  Google Scholar 

  27. Rudert HH, Steffen Hoft. Transoral carbon-dioxide laser resection of hypopharyngeal carcinoma. Eur. Arch. Otorhinolaryngol. 2003;260: 198–206.

    PubMed  Google Scholar 

  28. McGavran MH, Bauer WC, Ogura JH. The incidence of cervical lymph node metastases from epidermoid carcinoma of the larynx and their relationship to certain characteristics of the primary tumor. Cancer. 1961; 143-166.

  29. Robert J. Les epitheliomes intralarynges, thesis. Gaston Doin et Cre. Paris, 1936.

    Google Scholar 

  30. Kirchner JA. Two hundred laryngeal cancers: Patterns of growth and spread as seen in serial section. Laryngoscope 1977;87:474–482.

    Article  CAS  PubMed  Google Scholar 

  31. Kirchner JA. Cornog Jr JL, Holmes RE. Transglottic cancer: Its growth and spread with the larynx. Arch Otolaryngol. 1974; 99:247–225.

    CAS  PubMed  Google Scholar 

  32. Piquet JJ, Chevalier D. Subtotal laryngectomy with crico-hyoidoepiglotto-pexy for the treatment of extended glottic carcinomas, Am J Surg. 1991;162:357–361.

    Article  CAS  PubMed  Google Scholar 

  33. Laccourreye H, Laccourreye O, Weinstein G, et al. Supra-crocoid layngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol. 1990;99:421–426.

    CAS  PubMed  Google Scholar 

  34. Weinstein G, Laccourreye O, Branue D, Laccourreye H. Organ preservation surgery for laryngeal cancer. San Diogo, 2000 CA, Singular publishing group.

  35. Majer E-H Rieder W. Technique de laryngectomie permetant de conserver la permeabilite Respiratoire. (La cricohyoido-pexie). Ann Otolaryngol. 1959;76:677–681.

    CAS  Google Scholar 

  36. Vigneau D, Calvet H, Pessey JJ, et al. [Reconstructive laryngectomies] Oncologic and functional results]. Rev Laryngol Otol Rhinol (Bord), 1988;109(2):145–147.

    CAS  Google Scholar 

  37. Chevalier D, Watelet JB, Darras JA, Piquet JJ. Supraglottic hemilaryngopharyngectomy plus radiation for the treatment of early lateral margin and pyriform sinus carcinoma. Head Neck. 1997;19(1):1–5.

    Article  CAS  PubMed  Google Scholar 

  38. Steiner W, Ambrosch P. Endoscopic laser surgery of the upper aerodigestive tract. New York: Georg Thieme; 2000.

    Google Scholar 

  39. Steiner W, Ambrosch P, Hess CF, Kron M. Organ preservation by transoral laser microsurgery in piriform sinus carcinoma. Otolaryngol Head Neck Surg. 2001;124(1):58–67.

    Article  CAS  PubMed  Google Scholar 

  40. Ambrosch P, Brinck U, Fischer G, Steiner W. Special aspects of histopathologic diagnosis in laser microsurgery of cancers of the upper aerodigestive tract. Laryngorhinootologie. 1994;73(2):78–83.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Sultan Pradhan.

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Pradhan, S., Mehta, M., Hakeem, A. et al. Transoral resection of laryngeal and hypopharyngeal cancers. Indian J Surg Oncol 1, 207–211 (2010). https://doi.org/10.1007/s13193-010-0034-6

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  • DOI: https://doi.org/10.1007/s13193-010-0034-6

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