Umit Tunçel1, Ela Cömert. 1. Ankara Oncology Education and Research Hospital, Clinic of Otolaryngology, Ankara, Turkey.
Abstract
OBJECTIVE: To analyze the complications and preliminary oncologic results of microscopic diode laser surgery. STUDY DESIGN: Prospective research. SETTING: Ankara Oncology Education and Research Hospital. SUBJECTS AND METHODS: This prospective study was conducted on a series of 64 patients with glottic carcinoma (Tis, T1, T2) treated with microscopic endolaryngeal diode laser surgery. RESULTS: Four patients had local recurrence (6.2%). Local control and larynx preservation rates were 93.8% and 100%, respectively, for all groups of patients. Two-year disease-free survival after primary surgery was 100% for the Tis group, 96.4% for the T1 group, and 89.7% for the T2 group. When considering anterior commissure involvement, 2-year disease-free survival after primary surgery was 100% for the AC0 group, 85.7% for the AC1 group, and 85.7% for the AC2 group. CONCLUSION: Our study of microscopic diode laser resection of Tis, T1, and T2 glottic tumors showed similar oncologic results to previous reports about CO2 laser surgery. In anterior commissure tumors, both techniques had high complication and recurrence rates.
OBJECTIVE: To analyze the complications and preliminary oncologic results of microscopic diode laser surgery. STUDY DESIGN: Prospective research. SETTING: Ankara Oncology Education and Research Hospital. SUBJECTS AND METHODS: This prospective study was conducted on a series of 64 patients with glottic carcinoma (Tis, T1, T2) treated with microscopic endolaryngeal diode laser surgery. RESULTS: Four patients had local recurrence (6.2%). Local control and larynx preservation rates were 93.8% and 100%, respectively, for all groups of patients. Two-year disease-free survival after primary surgery was 100% for the Tis group, 96.4% for the T1 group, and 89.7% for the T2 group. When considering anterior commissure involvement, 2-year disease-free survival after primary surgery was 100% for the AC0 group, 85.7% for the AC1 group, and 85.7% for the AC2 group. CONCLUSION: Our study of microscopic diode laser resection of Tis, T1, and T2 glottic tumors showed similar oncologic results to previous reports about CO2 laser surgery. In anterior commissure tumors, both techniques had high complication and recurrence rates.
Authors: Michał Michalik; Jacek Szymańczyk; Michał Stajnke; Tomasz Ochrymiuk; Adam Cenian Journal: Micromachines (Basel) Date: 2021-06-17 Impact factor: 2.891