NDLI: Transoral laser surgery for supraglottic cancer.

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Transoral laser surgery for supraglottic cancer.

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Transoral laser surgery for supraglottic cancer.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rodrigo, Juan P. Suárez, Carlos Silver, Carl E. Rinaldo, Alessandra Ambrosch, Petra Fagan, Johannes J. Genden, Eric M. Ferlito, Alfio
Description	Country affiliation: Spain Author Affiliation: Rodrigo JP ( Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.)
Abstract	The goal of treatment for supraglottic cancer is to achieve cure and to preserve laryngeal function. Organ preservation strategies include both endoscopic and open surgical approaches as well as radiation and chemotherapy. The challenge is to select the correct modalities for each patient. Endoscopic procedures should be limited to tumors that can be completely visualized during diagnostic microlaryngoscopy. If complete resection can be achieved, the oncologic results of transoral laser surgery appear to be comparable to those of classic supraglottic laryngectomy. In addition, functional results of transoral laser resection are superior to those of the conventional open approach, in terms of the time required to restore swallowing, tracheotomy rate, incidence of pharyngocutaneous fistulae, and shorter hospital stay. The management of the neck remains of paramount importance, as survival of patients with supraglottic cancer depends more on cervical metastasis than on the primary tumor. Most authors advocate bilateral elective neck dissection. However, in selected cases (T1,T2 clinically negative [N0] lateral supraglottic cancers), ipsilateral selective neck dissection could be performed without compromising survival. The authors conclude that with careful selection of patients, laser supraglottic laryngectomy is a suitable, and often the preferred, treatment option for supraglottic cancer.
File Format	HTM / HTML
ISSN	10433074
Issue Number	5
Volume Number	30
e-ISSN	10970347
Journal	Head & Neck
Language	English
Publisher	Wiley
Publisher Date	2008-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Adverse Effects Laryngeal Neoplasms Laser Therapy Humans Neoplasm Recurrence, Local Review Glottis Laryngectomy Journal Article Laryngoscopy Discipline General Surgery Surgery Methods Neck Dissection
Content Type	Text
Resource Type	Article
Subject	Otorhinolaryngology

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Transoral laser surgery for supraglottic cancer.

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