- 作者：Fernando Ló ; pez-Á ; lvarez<sup>asup><sup> ; sup><sup>bsup><sup> ; sup><sup>flopez_1981@yahoo.essup> ; Juan P. Rodrigo<sup>asup><sup> ; sup><sup>bsup> ; José ; L. Llorente-Pendá ; s<sup>asup><sup> ; sup><sup>bsup> ; Carlos Suá ; rez-Nieto<sup>asup><sup> ; sup><sup>bsup>
- 关键词：Tumores avanzados de faringe y laringe ; LASER ; Tratamiento
- 刊名：Acta Otorrinolaringol贸gica Espa帽ola
- 出版年：2011
- 期刊代码：pca34_00016519
- 类别：med
- 出版时间：March-April 2011
- 卷：62
- 期：2
- 页码：95-102
- 文件大小：214 K
ss="h4">Introduction and objectives
There are several types of treatment for advanced squamous cell carcinomas of the pharynx and larynx. However, both open surgery and chemoradiation protocols have failed to improve control and survival. There is a tendency toward conservative treatment without worsening oncological outcomes. The objective of this study was to describe the effectiveness of organ-preserving CO<sub>2sub> laser microsurgery for treating advanced carcinomas of the larynx and pharynx.
ss="h4">Material and method
A retrospective review of 63 patients undergoing CO<sub>2sub> laser microsurgery for the treatment of squamous cell carcinomas of the pharynx and larynx in advanced stages (stages III and IV) was performed. Tumour distribution was 14 patients with a tumour at the base of the tongue, 16 with a pyriform sinus tumour, 29 with a supraglottic tumour and 4 with a glottic tumour. Mean follow-up was 51 months.
ss="h4">Results
Thirty-five percent of patients (23) had recurrences. The recurrence rate was 28%for base of tongue tumours, 50%for hypopharyngeal tumours, 27%for supraglottic tumours and 75%for glottic tumours. The 5-year disease-specific survival rate was 73.3%for all locations, with a range from 90%for supraglottic tumours up to 50%for glottic tumours. Thirty-four percent of patients had some type of complication after surgery. The most frequent complication was local bleeding (17%).
ss="h4">Conclusion
Transoral CO<sub>2sub> laser microsurgery is an alternative for the treatment of carcinomas of the pharynx and larynx in advanced stages. Its oncological results are equivalent to other treatment modalities and its morbidity is lower.