Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 3-11, March 2003

Endoscopic surgery for early glottic carcinoma

  • Robert L. Ferris, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Robert L. Ferris, MD, PhD, University of Pittsburgh School of Medicine, Department of Otolaryngology, The Eye & Ear Institute, Suite 500, 200 Lothrop Street, Pittsburgh, PA 15213.
    • University of Pittsburgh School of Medicine, Department of Otolaryngology, USA
    • University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA
    • ,
  • Alfred Simental, MD

      Affiliations

    • University of Pittsburgh School of Medicine, Department of Otolaryngology, USA

Abstract 

Early glottic carcinoma, specifically stage I or II, can be treated with endoscopic excision, radiation therapy, or open partial laryngectomy. Over the past two decades, this topic has received intensive interest, and controversies have often focused on techniques and outcomes comparing the use of endoscopic excision versus radiation therapy. This article will discuss philosophy, techniques, and outcomes of resection using the endoscopic approach to early glottic carcinoma. Optimization through appropriate instrumentation, staging, and technical details are critical to postoperative oncologic and vocal outcomes. The reader must remember that over 90% of T1 lesions and approximately 75% of T2 lesions are curable, and therefore adherence to the principles described below is important to achieve these outcomes.

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PII: S1043-1810(03)90034-0

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 14, Issue 1 , Pages 3-11, March 2003

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