Long-term quality of life after transoral laser microsurgery for laryngeal carcinoma

Valls-Mateus, Meritxell; Ortega, Alexis; Blanch, José Luís; Sabater, Francesc; Bernal‐Sprekelsen, Manuel; Vilaseca, Isabel

doi:10.1002/jso.24471

Cited by 10 publications

(8 citation statements)

References 38 publications

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“…The development of endolaryngeal robotic and laser supraglottic surgical procedures has resulted in fewer complications and morbidities than open surgery. Comparisons between open surgery and endolaryngeal laser surgery in terms of oncological success and functional results did not indicate any significant differences 3 , 9 , 18 , 30 , 31 …”

Section: Discussionmentioning

confidence: 85%

Meta-analytic comparison of robotic and transoral laser surgical procedures in supraglottic carcinoma

Aşık¹,

Satar²,

Serdar

2019

J. Laryngol. Otol.

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ObjectiveTo assess published reports of oncological surgical success rates in patients who underwent transoral laser supraglottic surgery and robotic surgery for supraglottic cancer.MethodsA systematic review of the literature was conducted and a meta-analysis of published data was performed. PubMed, Sage, Medline and Cochrane data sources were investigated. Overall survival rates, disease-specific survival rates, additional treatments and recurrence rates were investigated to determine the success of the surgical procedures.ResultsThe meta-analysis included 24 studies; 1617 studies were excluded. There were no statistically significant differences between the transoral laser supraglottic surgery and transoral robotic supraglottic surgery groups in terms of overall survival (77.0 per cent and 82.4 per cent respectively) and disease-specific survival (75.8 per cent and 87.0 per cent respectively). There was recurrence in 164 out of 832 patients (19.7 per cent) in the transoral laser supraglottic surgery group and in only 6 out of 66 patients (9 per cent) in the transoral robotic supraglottic surgery group.ConclusionTransoral laser surgery and robotic surgery appear to have comparable and acceptable oncological success rates.

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Section: Discussionmentioning

confidence: 85%

Meta-analytic comparison of robotic and transoral laser surgical procedures in supraglottic carcinoma

Aşık¹,

Satar²,

Serdar

2019

J. Laryngol. Otol.

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“…The author theorizes that the high expectations of minimal invasiveness created by TLM and the considerable percentage of patients that continue working without any official recognition of their disability may explain this discrepancy [108]. A third publication by Vals-Mateus shows that scores on voice and swallowing domains remain consistent over time and do not deteriorate [109•].…”

Section: Functional Outcomes Of Tlmmentioning

confidence: 99%

Transoral Laser Microsurgery in Early Glottic Lesions

Sjögren

2017

Curr Otorhinolaryngol Rep

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Purpose of ReviewTo give an overview of the evolvement of transoral laser microsurgery (TLM) in the treatment of early glottic carcinoma and highlight the contribution of recent literature.Recent FindingsThe indications and limits of TLM have been well specified. Effects on swallowing have been well documented. Introduction of narrow-band imaging (NBI) and diffusion-weighted magnetic resonance has been shown of additional value for outcome. The first reports on transoral robotic surgery show that it may be of added value in the future.SummaryTLM for early glottic carcinoma (Tis–T2) has very good oncological outcomes with indications of higher larynx preservation in TLM than that in radiotherapy. The anterior commissure is a risk factor if involved in the cranio-caudal plane, and reduced vocal fold mobility is a risk factor when this is due to arytenoid involvement. The best voice results are achieved when the anterior commissure can be left intact along with part of the vocal fold muscle although even in larger resections, patient self-reported voice handicap is still limited.

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“…The work (Vilaseca et al, 2016) showed that 94% of 401 patients who underwent CO 2 TLM had a high quality of life one year after treatment. Another publication demonstrates that voice and swallowing function after this type of treatment remains unchanged over time and does not worsen (Valls et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Research Article Use of transoral CO2 laser microsurgery for treatment of cancerous neoplasms of the larynx in Vietnam

Ky¹,

Huu²,

Quang³

et al. 2021

Genet. Mol. Res.

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Laryngeal cancer remains one of the most common head and neck tumors. In the treatment of this disease, it is important to assess the overall survival when using transoral СО 2 laser microsurgery. The aim of the research was to make an evaluation of treatment of patients with laryngeal cancer undergoing CO 2 laser transoral microsurgery. Fifty patients aged 40-82 years (average age 58.7 years) with early-stage laryngeal cancer were treated with СО 2 laser transoral microsurgery at the National ENT hospital from January 2012 to August 2014.Tumors at the T1aN0M0 stage were detected in 68%, T1bN0M0 in 14%, T2N0M0 in 18%. Overall survival was 87.1 ± 2.3 months, and 5-year survival was 92%. The survival rate depending on the type of surgical intervention Type III, Type IV, Type Va, Type Vb, Type Vc was 93, 94, 100, 100, and 100%, respectively. The survival rate depending on the stage T1aN0M0 was 91%, on the stage T1bN0M0 was 100%, on the stage T2N0M0 was 88%. Transoral СО 2 laser microsurgery shows ©FUNPEC-RP www.funpecrp.com.br Genetics and Molecular Research 20 (1): gmr18734 L.M. Ky et al. 2 excellent results in laryngeal tumors, especially in the T1aN0M0 stage, making it possible to perform surgery in more comfortable conditions; it provides high survival rates, excellent cosmetic and functional results compared to classical open access, without compromising immediate and long-term treatment results.

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Long-term quality of life after transoral laser microsurgery for laryngeal carcinoma

Abstract: Patients treated with TLM present a very good long-term QOL. Only activity deteriorates over time, while voice and swallowing remain satisfactory in the majority of patients. J. Surg. Oncol. 2016;114:789-795. © 2016 2016 Wiley Periodicals, Inc.

Cited by 10 publications

References 38 publications

Meta-analytic comparison of robotic and transoral laser surgical procedures in supraglottic carcinoma

Meta-analytic comparison of robotic and transoral laser surgical procedures in supraglottic carcinoma

Transoral Laser Microsurgery in Early Glottic Lesions

Research Article Use of transoral CO2 laser microsurgery for treatment of cancerous neoplasms of the larynx in Vietnam

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