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The Role of Hemilaryngectomy in the Management of T1 Vocal Cord Cancer

The Role of Hemilaryngectomy in the Management of T1 Vocal Cord Cancer Abstract • A retrospective study was undertaken to assess the outcome of 54 patients who have elected to undergo vertical hemilaryngectomy for T1, NO squamous cell carcinoma of the glottic larynx. Fiftyone (94%) of 54 patients were cured with surgery alone. The voice was preserved in 52 (96%) of 54 patients. In the subgroup of patients who had received no prior radiation therapy, voice preservation was achieved in 98% of patients and ultimate control of disease with cure was achieved in 95%. These data substantiate the contention that vertical hemilaryngectomy offers better cure rates than external beam radiation therapy alone. Our data support the efficacy of hemilaryngectomy in T1, NO glottic carcinoma. These data question the traditional belief that surgery effects its success at the expense of voice preservation, whereas external beam radiation therapy does not. (Arch Otolaryngol Head Neck Surg 1989;115:677-680) References 1. American Joint Committee for Cancer Staging and End Results Reporting: Staging Cancer of Head and Neck Sites and of Melanoma . Chicago, American Joint Committee on Cancer, 1980. 2. Hendrickson FR. Radiation therapy treatment of larynx cancers . Cancer 1985;55:2058-2061.Crossref 3. Harwood AR, Hawkins NV, Keane T, et al: Radiotherapy of early glottic cancer . Laryngoscope 1980;90:465-470.Crossref 4. Mohr RM, Quenelle DJ, Shumrick DA: Vertico-frontolateral laryngectomy (hemilaryngectomy) . Arch Otolaryngol Head Neck Surg 1983;109:384-395.Crossref 5. Maceri DR, Lampe HB, Makilski KH, et al: Conservation laryngeal surgery: A critical analysis . Arch Otolaryngol Head Neck Surg 1985; 111:361-365.Crossref 6. Wetmore SJ, Key MJ, Suen JY: Laser therapy for T1 glottic carcinoma of the larynx . Arch Otolaryngol Head Neck Surg 1986;112:853-855.Crossref 7. Ossoff RH, Shapshay SM, Sisson GA: Endoscopic management of selected early vocal cord carcinoma . Ann Otol Rhinol Laryngol 1985; 94:560-564. 8. Brandenburg JH, Condon KG, Frank TW: Coronal sections of larynges from radiation therapy failures: A clinico-pathologic study . Otolaryngol Head Neck Surg 1986;95:213-218. 9. Lawson W, Som M: Second primary cancer after irradiation of laryngeal cancer . Ann Otol Rhinol Laryngol 1975;84:771-774. 10. Lee F, Perlmutter S, Ogura JH: Laryngeal radiation after hemilaryngectomy . Laryngoscope 1980;90:1534-1539. 11. Fisher AJ, Caldarelli DD, Checko DC, et al: Glottic cancer: Surgical salvage for radiation failure . Otolaryngol Head Neck Surg 1986; 112:519-521.Crossref 12. Kirchner JA: Cancer at the anterior commissure of the larynx . Arch Otolaryngol Head Neck Surg 1970;91:524-525.Crossref 13. Sessions DG, Ogura JH, Fried MP: The anterior commissure in glottic carcinoma . Laryngoscope 1975;85:1624-1632.Crossref 14. Kaplan MJ, Johns ME, Clark DA, et al: Glottic carcinoma: The role of surgery and irradiation . Cancer 1984;53:2641-2648.Crossref 15. Jose B, Calhoun DC, Mohammed A: Recurrences after irradiation in early vocal cord cancer with literature review . J Surg Oncol 1984;27:224-227.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

The Role of Hemilaryngectomy in the Management of T1 Vocal Cord Cancer

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1989.01860300031011
Publisher site
See Article on Publisher Site

Abstract

Abstract • A retrospective study was undertaken to assess the outcome of 54 patients who have elected to undergo vertical hemilaryngectomy for T1, NO squamous cell carcinoma of the glottic larynx. Fiftyone (94%) of 54 patients were cured with surgery alone. The voice was preserved in 52 (96%) of 54 patients. In the subgroup of patients who had received no prior radiation therapy, voice preservation was achieved in 98% of patients and ultimate control of disease with cure was achieved in 95%. These data substantiate the contention that vertical hemilaryngectomy offers better cure rates than external beam radiation therapy alone. Our data support the efficacy of hemilaryngectomy in T1, NO glottic carcinoma. These data question the traditional belief that surgery effects its success at the expense of voice preservation, whereas external beam radiation therapy does not. (Arch Otolaryngol Head Neck Surg 1989;115:677-680) References 1. American Joint Committee for Cancer Staging and End Results Reporting: Staging Cancer of Head and Neck Sites and of Melanoma . Chicago, American Joint Committee on Cancer, 1980. 2. Hendrickson FR. Radiation therapy treatment of larynx cancers . Cancer 1985;55:2058-2061.Crossref 3. Harwood AR, Hawkins NV, Keane T, et al: Radiotherapy of early glottic cancer . Laryngoscope 1980;90:465-470.Crossref 4. Mohr RM, Quenelle DJ, Shumrick DA: Vertico-frontolateral laryngectomy (hemilaryngectomy) . Arch Otolaryngol Head Neck Surg 1983;109:384-395.Crossref 5. Maceri DR, Lampe HB, Makilski KH, et al: Conservation laryngeal surgery: A critical analysis . Arch Otolaryngol Head Neck Surg 1985; 111:361-365.Crossref 6. Wetmore SJ, Key MJ, Suen JY: Laser therapy for T1 glottic carcinoma of the larynx . Arch Otolaryngol Head Neck Surg 1986;112:853-855.Crossref 7. Ossoff RH, Shapshay SM, Sisson GA: Endoscopic management of selected early vocal cord carcinoma . Ann Otol Rhinol Laryngol 1985; 94:560-564. 8. Brandenburg JH, Condon KG, Frank TW: Coronal sections of larynges from radiation therapy failures: A clinico-pathologic study . Otolaryngol Head Neck Surg 1986;95:213-218. 9. Lawson W, Som M: Second primary cancer after irradiation of laryngeal cancer . Ann Otol Rhinol Laryngol 1975;84:771-774. 10. Lee F, Perlmutter S, Ogura JH: Laryngeal radiation after hemilaryngectomy . Laryngoscope 1980;90:1534-1539. 11. Fisher AJ, Caldarelli DD, Checko DC, et al: Glottic cancer: Surgical salvage for radiation failure . Otolaryngol Head Neck Surg 1986; 112:519-521.Crossref 12. Kirchner JA: Cancer at the anterior commissure of the larynx . Arch Otolaryngol Head Neck Surg 1970;91:524-525.Crossref 13. Sessions DG, Ogura JH, Fried MP: The anterior commissure in glottic carcinoma . Laryngoscope 1975;85:1624-1632.Crossref 14. Kaplan MJ, Johns ME, Clark DA, et al: Glottic carcinoma: The role of surgery and irradiation . Cancer 1984;53:2641-2648.Crossref 15. Jose B, Calhoun DC, Mohammed A: Recurrences after irradiation in early vocal cord cancer with literature review . J Surg Oncol 1984;27:224-227.Crossref

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Jun 1, 1989

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