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Laser Endoscopic Microsurgery of Laryngeal Cancers

Introduction 

The aim of our study is to present our experience in treating laryngeal cancers with endoscopic CO2 laser surgery.

Materials and Methods 

This retrospective study was conducted from January 2008 to December 2012 at Antoine Lacassagne Center of Nice. The functional and oncologic results of this surgical technique were analyzed and discussed.

Results 

The average length of hospital stay was 2.5 days. Phonatory results were considered excellent in 75% of our patients who maintained satisfactory phone communication skills after their interventions. Chronic hoarseness was the most common reason for bilateral or extended cordectomies. On the oncologic basis, histologic exam showed 90% of our margins were normal. The clinical control showed excellent laryngeal preservation in 94.23%. In 5 years, the overall survival was estimated at 96.15%.

Conclusion 

This study shows the benefit of the laser endoscopic microsurgery for the preservation of laryngeal functions and the local histologic control, essentially for early stage laryngeal cancers.

Keywords
laser therapy; endoscopy; laryngeal neoplasms


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