Transoral laser microsurgery for recurrent laryngeal and pharyngeal cancer

David G. Grant, John R. Salassa, Michael L. Hinni, Bruce W. Pearson, Richard E. Hayden, William C. Perry

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

Study Design and Setting: A two-center prospective case series analysis. Patients: One hundred fourteen patients with previously treated laryngeal or pharyngeal squamous cell carcinoma who underwent salvage transoral laser microsurgery (TLM). Interventions: TLM in 114 patients, neck dissection in 22 (19%) patients, adjuvant radiotherapy in 12 (11%) patients. Results: Ninety-one (80%) patients had recurrent primary tumors whereas 23 (20%) patients had second primary tumors occur within a previously irradiated field. The minimum follow-up was 1 year (median, 3 years). The distribution of tumor location was oropharynx 52 (46%), glottic and subglottic larynx 44 (39%), supraglottic larynx 11 (10%), and pyriform/hypopharynx 7 (6%). Overall, three-year local and locoregional control estimates were 70 percent and 67 percent, respectively; and three-year survival and disease-free survival estimates were 62 percent and 64 percent, respectively. The average duration of hospitalization was 2.3 days. Four (3.5%) patients had significant postoperative bleeding. Two (<2%) patients had treatment-related deaths. Conclusions: Transoral laser microsurgery offers select patients an attractive alternative salvage surgical therapy to the recurrent and second primary tumor site.

Original languageEnglish (US)
Pages (from-to)606-613
Number of pages8
JournalOtolaryngology - Head and Neck Surgery
Volume138
Issue number5
DOIs
StatePublished - May 1 2008

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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