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Transoral laser microsurgery for glottic cancer in the elderly: Efficacy and safety
- Source :
- Head & Neck. 41:1816-1823
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Background Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited. Methods A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (≥70 years old, mean 76 years) treated with TLM was made. A systematic review of the literature was performed. Results Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review indicated that TLM is safe and effective treatment for these patients, with few complications and good local control (>85%) and DSS (>90%) rates. Conclusions Our results and the information from the literature show that TLM for glottic cancer in elderly patients can lead to satisfactory treatment results.
- Subjects :
- Male
Glottis
Microsurgery
medicine.medical_specialty
complications
Laryngectomy
Treatment results
elderly
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Overall survival
Humans
Medicine
Effective treatment
Transoral laser microsurgery
laryngeal cancer
transoral laser microsurgery
Otorhinolaryngology2734 Pathology and Forensic Medicine
030223 otorhinolaryngology
Laryngeal Neoplasms
Aged
Retrospective Studies
business.industry
Background data
Age Factors
Retrospective cohort study
Surgery
Treatment Outcome
Otorhinolaryngology
Glottic cancer
030220 oncology & carcinogenesis
Carcinoma, Squamous Cell
Female
Laser Therapy
business
Subjects
Details
- ISSN :
- 10970347 and 10433074
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Head & Neck
- Accession number :
- edsair.doi.dedup.....76ee3e69b2801cb02235d05c9f67ff1b