Carbon dioxide laser debulking for obstructing endolaryngeal carcinoma: A 10-year experience
(1999) Annals of Otology, Rhinology and Laryngology — Vol. 108, n° 5, p. 490-494 (1999)
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- Abstract
- The results of the carbon dioxide (CO2) laser debulking procedure for obstructing endolaryngeal carcinoma were analyzed in terms of efficiency, complications, secondary tracheotomy rate, and peristomal recurrence rate in a series of 50 patients consecutively managed at our department. The CO2 laser was used to reestablish a safe airway without resorting to tracheotomy and without performing a transoral resection. Our series included 42 patients in a pre-definitive treatment group (group 1) and 8 patients in a palliation group (group 2). Complications included death, pneumonia from inhalation, and cutaneous bums in 2 patients, 1 patient, and 1 patient, respectively. Thirty-two percent of patients required a repeat laser treatment, to maintain the airway. Overall success rates of 92.8% and 87.5% were achieved in group 1 and group 2 patients, respectively. None of the variables under analysis could predict the success of the CO2 laser debulking procedure. The overall incidences for secondary tracheotomy were 4.7% and 0% in group 1 and group 2 patients,respectively. Peristomal recurrence was not encountered in patients managed with definitive therapy with curative intent.
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Laccourreye, O., Lawson, G., Muscatello, L., Biacabe, B., Laccourreye, L., & Brasnu, D. (1999). Carbon dioxide laser debulking for obstructing endolaryngeal carcinoma: A 10-year experience. Annals of Otology, Rhinology and Laryngology, 108(5), 490-494. https://hdl.handle.net/2078.5/141317 (Original work published 1999)