Endolaryngeal diode laser surgery for early glottic carcinomas involving anterior commissure

Authors : Umit Tuncel, Caner Kilic

Pages : 182-187

Doi:10.18621/eurj.296461

View : 26 | Download : 8

Publication Date : 2017-07-04

Article Type : Research

Abstract :Objective. In this study, we present the results of endolaryngeal diode laser surgery in patients with an early stage laryngeal carcinoma involving the anterior commissure (AC). Methods. A total of 108 patients (103 males, five females; mean age: 52.4 years; range; 31 to 75 years) who were treated between January 2010 and January 2015 were included in this study. All patients with glottic cancer had anterior commissure lesions . Complications, recurrence rates, and overall survival associated with diode laser surgery were recorded. Results. Based on the AC classification, the initial local control rate was 89.4% for the AC0 tumors, 81.3% for the AC1 tumors, and 90% for the AC2 tumors. Five-year disease-free and overall survival rates were 93.1% and 98.3, respectively. Conclusion. This study provides evidence that microscopic endolaryngeal diode laser surgery is a safe and effective option for the treatment of early glottic cancer involving the AC. 
Keywords : anterior commissure, Glottic carcinoma, diode laser surgey, survival