2009•Chinese Archives of Otolaryngology-head and Neck SurgeryRequires access
Minimally invasive treatment of glottic cancer involving the anterior commissure with semiconductor laser
Sucheng Tang
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Abstract
OBJECTIVE To investigate the application and clinical effect of the minimally invasive treatment of glottic cancer involving the anterior commissure with semiconductor laser. METHODS The clinical data of 32 cases with glottic cancer involving the anterior commissure treated with semiconductor laser in our hospital from 1998 to 2003 were studied retrospectively. RESULTS No patients were lost to follow-up. The 5 year survival rate was 97%. There were 5 cases recurred. The recurrence rate was 16%. Four of them were T2 stage of glottic cancer involving the subglottic area of the anterior commissure. But all the recurrent patients preserved the laryngeal function after salvage supracricoid laryngectomy with cricohyopexy or cricohyoepiglottopexy. CONCLUSION Selectively using semiconductor laser for glottic cancer involving the anterior commissure is less invasive and cost,and can recover quickly and preserve better voice. The contraindications are T2 stage of glottic cancer involving the subglottic areas of anterior commissure.