Minimally Invasive Procedures for Laryngeal Carcinoma: Transoral Endoscopic Laser and Transoral Robotic Surgery

Abstract

Open partial or total laryngectomies with or without radiotherapy (RT) or chemoradiotherapy (CRT) are the only mainstays in the treatment of laryngeal carcinomas. However, minimally invasive procedures such as transoral endoscopic carbondioxide laser microsurgery (TLM) or transoral robotic surgeries (TRS) are now being increasingly used in selected patients. The laryngeal framework is not disturbed in these procedures; therefore, the postoperative swallowing function improves more rapidly, and routine tracheotomy is not usually required. Moreover, they have oncological results comparable with open procedures.

Laser treatment for larynx cancer: an overview of techniques and complications

“…This includes the use of endoscopic laser surgery, which uses a small scope to perform the procedure through a tiny incision in the neck. This approach offers many of the benefits of traditional laser treatment, but with even less invasive and with reduced risk of morbidity [9].…”