Voice, swallowing and quality of life in patients after transoral laser surgery for supraglottic carcinoma

Roh, Jong–Lyel; Kim, Dong-Hyun; Park, Chan Il

doi:10.1002/jso.21101

Cited by 56 publications

(48 citation statements)

References 29 publications

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“…We observed five pneumonias (2 %) and no fistulas in our own study. Roh et al [41] show the incidence of aspiration pneumonia after TLM of 11.5 % and after transcervical approach up to 40 %. Lower complication rates after TLM may be attributed to the preservation of healthy tissue and functionally important structures.…”

Section: Discussionmentioning

confidence: 99%

Results of transoral laser microsurgery for supraglottic carcinoma in 277 patients

Canis

Martin²,

Ihler

et al. 2013

Eur Arch Otorhinolaryngol

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The objective of the study was to evaluate the oncological and functional results of transoral laser microsurgery (TLM) in patients with supraglottic laryngeal squamous cell carcinoma. Between June 1980 and December 2006, 277 patients with squamous cell supraglottic carcinoma of all stages were treated by primary carbon dioxide laser microsurgery. All treatments were performed with curative intention. The goal was the complete tumor removal with preservation of functionally important structures of the larynx. The administered treatment was exclusively TLM with or without selective or modified radical neck dissection in 215 cases (78 %); TLM with postoperative radiotherapy was performed in 62 cases (22 %). Data were analyzed using the Kaplan–Meier method. The median follow-up was 65 months. We achieved a 5-year local control rate of 85 % for pT1/pT2, 82 % for pT3, and 76 % for pT4. The 5-year overall, recurrence-free and disease-specific survival rates for stages I and II were 76, 81, and 92 %, for stages III and IVa 59, 65, and 81 %, respectively. With respect to local control and survival, these results are comparable with the results achieved by conventional partial and total resection of the larynx, while being superior to primary (chemo)radiotherapy. Transoral laser microsurgery results in a low morbidity, rapid recovery, and superior function compared with standard therapy.

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Section: Discussionmentioning

confidence: 99%

Results of transoral laser microsurgery for supraglottic carcinoma in 277 patients

Canis

Martin²,

Ihler

et al. 2013

Eur Arch Otorhinolaryngol

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“…The MD Anderson Dysphagia Inventory (MDADI) is the most commonly cited questionnaire for this case group [3, [29][30][31] and was also recommended by the international consensus panel for clinical trials in HNC [15]. Similarly to the swallowing impairment studies reported above, patients with pharyngeal tumours and those with advanced disease have poorer MDADI scores at the pretreatment stage [3,29].…”

Section: The Patients' Perspectivementioning

confidence: 98%

The clinical value of dysphagia preassessment in the management of head and neck cancer patients

Patterson

Wilson

2011

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Aspiration is minimal and occurs in the early postoperative period only and there is a reduced need for secondary tracheostomy and laryngectomy due to aspiration problems. 15,16,20,25,26,34 Mechanisms contributing significantly to the recovery of swallowing function after supraglottic, either open or endoscopic laryngectomy are: the oropharyngeal transit time of the bolus, closure of the airway at the laryngeal entrance, the position of the laryngeal remnant in relation to the base of the tongue, and the movement of the base of the tongue toward the posterior pharyngeal wall. 33,35,36 Patients who regain these functions postoperatively meet the prerequisites for a normal swallowing function.…”

Section: Functional Resultsmentioning

confidence: 99%

Transoral Laser Surgery for Supraglottic Carcinoma

Hong

Lee

2013

Medical Lasers

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Primary treatment modalities of supraglottic cancer usually consist of single or combined methods. Treatment protocols include single transoral surgery, external transcervical approach, and radiation therapy or a combination of these methods. The objective of surgery for supraglottic cancer is cure of the tumor, with preservation of voice, deglutition, and an intact airway. Transoral laser surgery is found to achieve comparable oncologic results with open surgery. Moreover, the complication rate was lower in laser surgery compared to the conventional open approaches and there were no major complications. Transoral laser supraglottic laryngectomy seems to be a feasible and oncologically safe procedure in the treatment of fresh or recurrent supraglottic cancer ranging from T1 to selected T3 with minimal preepiglottic space involvement.

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Voice, swallowing and quality of life in patients after transoral laser surgery for supraglottic carcinoma

Abstract: Swallowing was affected by the extent of laser resection for supraglottic carcinomas, but eventually recovered in most patients, indicating favourable functional and oncological outcomes.

Cited by 56 publications

References 29 publications

Results of transoral laser microsurgery for supraglottic carcinoma in 277 patients

Results of transoral laser microsurgery for supraglottic carcinoma in 277 patients

The clinical value of dysphagia preassessment in the management of head and neck cancer patients

Transoral Laser Surgery for Supraglottic Carcinoma

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