Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000300212 |
Resumo: | Abstract Introduction Transoral laser microsurgery (TLM) has won territory in larynx oncology, establishing itself as an effective option in treatment of glottic, supraglottic, and hypopharynx tumors. Its advantages include limited resections, a reduction in number of tracheostomies, and the use of nasogastric tubes. Moreover, its oncological benefits are similar to those from open surgery in patients with early or advanced stages, when correctly selected. Objective The objective of this study is to review oncologic outcomes obtained with the treatment of a series of glottic tumors, treated by TLM. Methods Retrospective analysis of patients previously untreated, diagnosed with squamous cell carcinoma of the glottis (T1a, T1b, T2) in a tertiary university hospital. Endpoints for analysis were local control, overall and disease-specific survival, and larynx preservation rate. Results The study group included 58 patients that met the inclusion criteria: 57 (98.3%) men and 1 (1.7%) woman. Mean age was 65.5 10.7 years (Min: 46/Max: 88). The tumor stages of the patients included were 30 T1a, 11 (19%) T1b, and 17 (29.3%) T2. Three-year overall survival rate was 89.7% (Fig. 1), and three-year disease-specific survival rate was 96.5%, three-year local control rate was 98.3%, and three-year organ preservation rate was 98.3%. Conclusion TLM is a safe and effective option in the treatment of glottis carcinomas, associated with less morbidity and a high percentage of local control, overall survival, specific survival, and organ preservation. |
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International Archives of Otorhinolaryngology |
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Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2larynxCO2 lasercarcinomaAbstract Introduction Transoral laser microsurgery (TLM) has won territory in larynx oncology, establishing itself as an effective option in treatment of glottic, supraglottic, and hypopharynx tumors. Its advantages include limited resections, a reduction in number of tracheostomies, and the use of nasogastric tubes. Moreover, its oncological benefits are similar to those from open surgery in patients with early or advanced stages, when correctly selected. Objective The objective of this study is to review oncologic outcomes obtained with the treatment of a series of glottic tumors, treated by TLM. Methods Retrospective analysis of patients previously untreated, diagnosed with squamous cell carcinoma of the glottis (T1a, T1b, T2) in a tertiary university hospital. Endpoints for analysis were local control, overall and disease-specific survival, and larynx preservation rate. Results The study group included 58 patients that met the inclusion criteria: 57 (98.3%) men and 1 (1.7%) woman. Mean age was 65.5 10.7 years (Min: 46/Max: 88). The tumor stages of the patients included were 30 T1a, 11 (19%) T1b, and 17 (29.3%) T2. Three-year overall survival rate was 89.7% (Fig. 1), and three-year disease-specific survival rate was 96.5%, three-year local control rate was 98.3%, and three-year organ preservation rate was 98.3%. Conclusion TLM is a safe and effective option in the treatment of glottis carcinomas, associated with less morbidity and a high percentage of local control, overall survival, specific survival, and organ preservation.Fundação Otorrinolaringologia2016-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000300212International Archives of Otorhinolaryngology v.20 n.3 2016reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0036-1572430info:eu-repo/semantics/openAccessEstomba,Carlos Miguel ChiesaReinoso,Frank Alberto BetancesVelasquez,Alejandra OsorioFernandez,Jose Luis RodriguezConde,Jose Luis FariñaHidalgo,Carmelo Santidrianeng2016-09-02T00:00:00Zoai:scielo:S1809-48642016000300212Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2016-09-02T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
title |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
spellingShingle |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 Estomba,Carlos Miguel Chiesa larynx CO2 laser carcinoma |
title_short |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
title_full |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
title_fullStr |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
title_full_unstemmed |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
title_sort |
Transoral CO2 Laser Microsurgery Outcomes for Early Glottic Carcinomas T1-T2 |
author |
Estomba,Carlos Miguel Chiesa |
author_facet |
Estomba,Carlos Miguel Chiesa Reinoso,Frank Alberto Betances Velasquez,Alejandra Osorio Fernandez,Jose Luis Rodriguez Conde,Jose Luis Fariña Hidalgo,Carmelo Santidrian |
author_role |
author |
author2 |
Reinoso,Frank Alberto Betances Velasquez,Alejandra Osorio Fernandez,Jose Luis Rodriguez Conde,Jose Luis Fariña Hidalgo,Carmelo Santidrian |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Estomba,Carlos Miguel Chiesa Reinoso,Frank Alberto Betances Velasquez,Alejandra Osorio Fernandez,Jose Luis Rodriguez Conde,Jose Luis Fariña Hidalgo,Carmelo Santidrian |
dc.subject.por.fl_str_mv |
larynx CO2 laser carcinoma |
topic |
larynx CO2 laser carcinoma |
description |
Abstract Introduction Transoral laser microsurgery (TLM) has won territory in larynx oncology, establishing itself as an effective option in treatment of glottic, supraglottic, and hypopharynx tumors. Its advantages include limited resections, a reduction in number of tracheostomies, and the use of nasogastric tubes. Moreover, its oncological benefits are similar to those from open surgery in patients with early or advanced stages, when correctly selected. Objective The objective of this study is to review oncologic outcomes obtained with the treatment of a series of glottic tumors, treated by TLM. Methods Retrospective analysis of patients previously untreated, diagnosed with squamous cell carcinoma of the glottis (T1a, T1b, T2) in a tertiary university hospital. Endpoints for analysis were local control, overall and disease-specific survival, and larynx preservation rate. Results The study group included 58 patients that met the inclusion criteria: 57 (98.3%) men and 1 (1.7%) woman. Mean age was 65.5 10.7 years (Min: 46/Max: 88). The tumor stages of the patients included were 30 T1a, 11 (19%) T1b, and 17 (29.3%) T2. Three-year overall survival rate was 89.7% (Fig. 1), and three-year disease-specific survival rate was 96.5%, three-year local control rate was 98.3%, and three-year organ preservation rate was 98.3%. Conclusion TLM is a safe and effective option in the treatment of glottis carcinomas, associated with less morbidity and a high percentage of local control, overall survival, specific survival, and organ preservation. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000300212 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642016000300212 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0036-1572430 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.20 n.3 2016 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203975596376064 |