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Endoscopic Surgery For Cancer Larynx
Endoscopic Surgery For Cancer Larynx
MANAGEMENT
Management Options:
Primary Tumor:
Surgery:
o o o o o Cordectomy. Supraglottic Laryngectomy. Hemilaryngectomy. Near-total Laryngectomy. Total Laryngectomy.
Radiotherapy. Chemotherapy:
o Cisplatin + 5-Fluorouracil.
Combination.
STAGING
Stage Grouping:
Stage 0 Stage I Stage II Stage III Tis T1 T2 T3 T1-3 N0 N0 N0 N0 N1 M0 M0 M0 M0 M0
Early stage
T4a
Stage IVA T1-4a T4b Stage IVB Stage IVC any T any T
N0-1
N2 any N N3 any N
M0
M0 M0 M0 M1
Advanced stage
Indication:
Carcinoma in situ & microinvasive carcinoma. Glottic carcinomas. Supraglottic carcinomas. Vestibular fold carcinoma.
Surgical Procedure:
General anesthesia. Direct visualization of the tumor. CO2 laser division of tumor. Tumor is removed piece by piece.
Advantages:
Minimal loss of healthy tissue. Avoidance of tracheostomy. No external incisions. Early swallowing post-operatively. All other therapy methods are still available.
Disadvantages:
Large tumors. Extensive endoscopic resections higher risk of postoperative aspiration.
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