Transoral resection of supraglottic tumours using microelectrodes (54 cases)

Abstract

We present the oncological and functional results of surgical transoral resection of supraglottic laryngeal carcinomas using microelectrodes. This prospective multicentre trial was conducted from 2005 to 2009. It included 54 patients (23 T1, 14 T2, and 17 T3) with supraglottic cancer, with a follow-up of 2 years. Outcome measurements were: tracheostomy, hospital stay, nasogastric feeding and recurrences. Four patients required permanent tracheostomies. The mean hospital stay was 8.1 days. Temporary nasogastric feeding was necessary in 13 patients. Postoperative complications included two incidences of haemorrhage requiring surgical intervention and one pneumonia. Four patients out of eight with T3 tumours had regional recurrence; in these cases salvage surgery was performed: two cases by the transoral approach and six total laryngectomies. Clinical results were similar to those obtained with CO2 laser therapy. We list other advantages of the technique and include a literature review.

Transoral laser microsurgery for locally advanced (T3-T4a) supraglottic squamous cell carcinoma: Sixteen years of experience

“…Most of these publications are related to oropharyngeal and tongue base tumors. In respect to laryngeal carcinoma, the numbers are limited to small series, and usually refer to locally early tumors …”

Posterior cordotomy in bilateral vocal cord paralysis using monopolar microelectrodes and radiofrequency in 18 patient

“…The use of microelectrodes and radiofrequency device offers the possibility of cutting at an angle, excellent haemostasis, also a simple equipment in terms of: shorter surgical time, manipulation and cost comparing with CO 2 laser technology.…”

“…Microelectrodes tips: in 90° to the left and right; in the middle ME in 180° (for more details see references)…”

“…Based on our experience with several transoral laryngeal procedures using microelectrodes (MEs), we present in this manuscript our experience performing posterior cordotomy using microelectrodes and radiofrequency by a transoral approach in patients with bilateral vocal cord paralysis.…”

“…Based on our experience with several transoral laryngeal procedures using microelectrodes (MEs), [3][4][5] we present in this manuscript Patient confidentiality was protected.…”