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Outcomes of transoral laser microsurgery for recurrent head and neck cancer

Published online by Cambridge University Press:  07 October 2013

L F Reynolds ,
M H Rigby ,
J Trites ,
R Hart  and
S M Taylor
L F Reynolds
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
M H Rigby
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
J Trites
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
R Hart
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
S M Taylor*
Affiliation:
Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
*
Address for correspondence: Dr S M Taylor, Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada Fax: 001 902 473 4016 E-mail: smtaylorwashu@yahoo.com
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Abstract

Objective:

To report our outcomes with salvage CO2 laser surgery following recurrence of laryngeal and oropharyngeal cancer after radiotherapy.

Method:

This study entailed a prospective review of patients treated with transoral laser microsurgery for recurrent laryngeal and oropharyngeal cancer between 2002 and 2010 at the Queen Elizabeth II Health Science Centre in Canada.

Results:

Sixteen patients were identified, with a mean follow up of 30.6 months. Five patients died of recurrence. Complications were common in patients with oropharyngeal cancer. The overall survival and disease-free survival rates at an average of 29.8 months follow up were 50 per cent and 68.8 per cent respectively.

Conclusion:

Salvage surgery using transoral laser microsurgery should be considered in the management of patients with recurrent laryngeal and oropharyngeal cancer. This technique offers acceptable salvage rates with less comorbidity than other treatments.

Keywords

Neoplasm RecurrenceLocalCarcinomaTonsilTongueLarynxChemotherapyRadiotherapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 982 - 986
Copyright
Copyright © JLO (1984) Limited 2013 

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