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Inicio Acta Otorrinolaringológica Española Tratamiento del cáncer glótico precoz con cirugía transoral láser CO2
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Vol. 57. Issue 8.
Pages 364-368 (October 2006)
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Vol. 57. Issue 8.
Pages 364-368 (October 2006)
Tratamiento del cáncer glótico precoz con cirugía transoral láser CO2
Treatment of early glottic carcinoma with transoral laser CO2
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J.A. González-García1
Corresponding author
joseangelgg@seorl.net

Correspondencia: José Ángel González García. Calle Fuencarral Nº 82 4ºA. 28004 Madrid.
, A. Rodríguez Paramás, R. Souvirón Encabo, P. Ortiz García, B. Scola Yurrita
1 Servicio de Otorrinolaringología. Hospital General Universitario Gregorio Marañón. Madrid
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Resumen
Objetivo

Estudio retrospectivo (1992-2003) de cánceres glóticos en estadio precoz tratados con cirugía transoral láser CO2.

Material y métodos

Se estudian 125 casos de pacientes no previamente tratados, con diagnóstico histológico de carcinoma, tratados mediante Resección Transoral Láser CO2. Prestaremos especial atención a la afectación de la comisura anterior. También se analizarán aspectos referents al informe anatómico de la pieza quirúrgica y su importancia intra y postoperatoria a la hora de realizar tratamientos complementarios. Analizamos las indicaciones de la técnica, las complicaciones, la estancia media, los resultados funcionales y oncológicos, la supervivencia y realizamos seguimiento de las recidivas.

Resultados y Conclusiones

La técnica Láser es efectiva, conservadora de la función, y la base del tratamiento del carcinoma precoz de cuerda vocal. La afectación comisural influye en el pronóstico. Ocasionalmente pueden ser necesarios tratamientos complementarios en base al informe patológico postoperatorio.

Palabras clave:
Cáncer de cuerda vocal
Láser CO2
Comisura anterior
Cáncer precoz glótico
Abstract
Objective

We present our outcome in the treatment of 125 patients with malignant glottic lesions between 1992 and 2003 in a retrospective study.

Patient and methods

We analyze 125 cases of patients, with previously untreated carcinoma of the larynx with histological diagnosis, treated with Transoral Laser Microresection. We will pay special attention to those tumors involving the Anterior Commissure. We will also analyze several parameters relaed to the post and intraoperatory histopathological report, in order to decide adjuvant therapies. We will also analyze the technique indications, complications, hospital length of stay, oncologic and functional outcomes, survival and follow up of recurrences.

Outcomes and conclusion

Transoral laser microresection is an effective and functional preserving procedure, and nowadays the base of the treatment of early glottic carcinoma. Anterior Commissure involvement is a prognostic factor. Sometimes complementary therapies are needed based on by the histopathological report.

Key words:
Vocal Cord Cancer
Laser CO2
Anterior Commissure
Early glottic carcinoma

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