Laser resection of pharyngeal cancer

Ameya A. Jategaonkar, Alpen B. Patel, Michael L. Hinni

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Transoral laser microsurgery (TLM) is a surgical treatment method for primary cancers of the mouth, pharynx, and larynx and offers decreased morbidity when compared to traditional open approaches. TLM typically utilizes a carbon dioxide (CO2) laser for resection of tissues. An operating microscope supplies the illumination and magnification. Access is gained via the natural anatomy of the upper aerodigestive tract. TLM differs from open surgery in two significant ways: the tumor block can be transected into manageable units by the laser (in situ), permitting margin mapping. And healing is allowed to occur by secondary intention. While this “piecemeal” removal of the tumor deviates from the “en bloc” principle of conventional oncologic surgery, it adds a diagnostic dimension to TLM.

Original languageEnglish (US)
Title of host publicationBiomedical Optics in Otorhinolaryngology: Head and Neck Surgery
PublisherSpringer New York
Pages33-49
Number of pages17
ISBN (Electronic)9781493917587
ISBN (Print)9781493917570
DOIs
StatePublished - Jan 1 2016

Keywords

  • Excision
  • Laser resection
  • Neoplastic processes
  • Oropharyngeal cancer
  • Pharyngeal cancer
  • Transoral laser microsurgery (TLM)

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Jategaonkar, A. A., Patel, A. B., & Hinni, M. L. (2016). Laser resection of pharyngeal cancer. In Biomedical Optics in Otorhinolaryngology: Head and Neck Surgery (pp. 33-49). Springer New York. https://doi.org/10.1007/978-1-4939-1758-7_3