scholarly journals Functional and Oncological Outcomes of Open Partial Laryngectomy vs. Transoral Laser Surgery in Supraglottic Larynx Cancer

2021 ◽  
Vol 58 (4) ◽  
pp. 227-233
Author(s):  
Muhammet Fatih Gokmen ◽  
◽  
Zahide Ciler Buyukatalay ◽  
Suha Beton ◽  
Mustafa Kursat Gokcan ◽  
...  
Keyword(s):  
Laser Surgery ◽  
Larynx Cancer ◽  
Partial Laryngectomy ◽  
Oncological Outcomes ◽  
Transoral Laser Surgery ◽  
Open Partial Laryngectomy ◽  
Supraglottic Larynx

Postoperative Inhaled Steroids Following Glottic Airway Surgery Reduces Granulation Tissue Formation

2021 ◽  
pp. 000348942110658
Author(s):  
Alison N. Hollis ◽  
Ameer Ghodke ◽  
Douglas Farquhar ◽  
Robert A. Buckmire ◽  
Rupali N. Shah
Keyword(s):  
Granulation Tissue ◽  
Laser Surgery ◽  
Vocal Fold ◽  
Inhaled Corticosteroids ◽  
Surgical Removal ◽  
Tissue Formation ◽  
Granulation Tissue Formation ◽  
Inhaled Steroids ◽  
Transoral Laser Surgery ◽  
Airway Surgery

Objectives: Transoral laser surgery for glottic stenosis (transverse cordotomy and anteromedial arytenoidectomy (TCAMA)) is often complicated by granulation tissue (GT) formation. GT can cause dyspnea and may require surgical removal to alleviate airway obstruction. Inhaled corticosteroids (ICS) have been shown to reduce benign vocal fold granulomas, however its use to prevent GT formation has not been described. We aimed to analyze the effect of immediate postoperative ICS on GT formation in patients undergoing transoral laser surgery for glottic stenosis. Methods: A retrospective analysis of patients that had transoral laser surgery for glottic stenosis from 2000 to 2019 was conducted. Surgical instances were grouped into those that received postoperative ICS and those that did not. Demographics, diagnosis, comorbidities, intraoperative adjuvant therapy, and perioperative medications were collected. Differences in GT formation and need for surgical removal were compared between groups. A multivariate exact logistic regression model was performed. Results: Forty-four patients were included; 16 required 2 glottic airway surgeries (60 surgical instances). Of the 23 instances where patients received immediate postoperative ICS, 0 patients developed GT; and of the 37 instances that did not receive postoperative ICS, 15 (40.5%) developed GT ( P < .0001). Eight (53.3%) of these cases returned to the OR for GT removal. ICS use was solely associated with the absence of GT formation ( P = .042) in the multivariate analysis. Conclusions: Immediate postoperative use of ICS seems to be a safe and effective method to prevent granulation tissue formation and subsequent surgery in patients following transoral laser airway surgery for glottic stenosis.

Predictive Factors of Carcinological Outcomes for Glottic Cancer Treated With Transoral Laser Cordectomy

2020 ◽  
Vol 2 (1) ◽  
pp. 01-04
Author(s):  
ALJ zineb
Keyword(s):  
Predictive Factors ◽  
Laser Surgery ◽  
Local Control Rate ◽  
Glottic Cancer ◽  
Glottic Carcinoma ◽  
Relapse Free Survival ◽  
Free Survival ◽  
Early Glottic Cancer ◽  
Transoral Laser Surgery ◽  
Preservation Rate

Tran’s oral laser surgery is at the forefront of the therapeutic arsenal of epidermoid glottic cancer, but its indications for certain local extensions are controversial. We have analyzed through a retrospective study of 37 patients with T1 or T2 epidermoid glottic carcinoma, treated with transoral laser surgery, the post-surgical outcomes regarding the relapse-free survival, local control rate, laryngeal preservation rate and overall survival, correlated to the initial local extension. This study aimed at clarifying further the clinical behavior of early glottic cancer following transoral laser surgery and to determine, using retrospective analysis, and the predictive factors of carcinological outcomes.

Transoral laser surgery for anterior commissure involvement: A study in canines

2010 ◽  
Vol 37 (5) ◽  
pp. 601-608 ◽  
Author(s):  
Guangbin Sun ◽  
Haihong Tang ◽  
Alicia J. Sprecher ◽  
Julia K. MacCallum ◽  
Na Sun ◽  
...  
Keyword(s):  
Laser Surgery ◽  
Anterior Commissure ◽  
Transoral Laser Surgery

scholarly journals Transoral Laser Surgery for Laryngeal Cancer

2014 ◽  
Vol 5 (2) ◽  
pp. e0012 ◽  
Author(s):  
Vlad Sandulache ◽  
Michael Kupferman
Keyword(s):  
Laryngeal Cancer ◽  
Laser Surgery ◽  
Transoral Laser Surgery
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