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Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement

Introduction. Glottic carcinoma can be successfully diagnosed in its early stages and treated with high percentage of success. Organ preservation and optimal functional outcomes could be achieved with wide array of surgical techniques for early glottic cancer, including endoscopic approaches or open...

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Autores principales: Milovanovic, Jovica, Jotic, Ana, Djukic, Vojko, Pavlovic, Bojan, Trivic, Aleksandar, Krejovic-Trivic, Sanja, Milovanovic, Andjela, Milovanovic, Aleksandar, Artiko, Vera, Banko, Bojan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060788/
https://www.ncbi.nlm.nih.gov/pubmed/24991554
http://dx.doi.org/10.1155/2014/464781
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author Milovanovic, Jovica
Jotic, Ana
Djukic, Vojko
Pavlovic, Bojan
Trivic, Aleksandar
Krejovic-Trivic, Sanja
Milovanovic, Andjela
Milovanovic, Aleksandar
Artiko, Vera
Banko, Bojan
author_facet Milovanovic, Jovica
Jotic, Ana
Djukic, Vojko
Pavlovic, Bojan
Trivic, Aleksandar
Krejovic-Trivic, Sanja
Milovanovic, Andjela
Milovanovic, Aleksandar
Artiko, Vera
Banko, Bojan
author_sort Milovanovic, Jovica
collection PubMed
description Introduction. Glottic carcinoma can be successfully diagnosed in its early stages and treated with high percentage of success. Organ preservation and optimal functional outcomes could be achieved with wide array of surgical techniques for early glottic cancer, including endoscopic approaches or open laryngeal preserving procedures, making surgery the preferred method of treatment of early glottic carcinoma in the last few years. Material and Methods. Prospective study was done on 59 patients treated for Tis and T1a glottic carcinoma over a one-year time period in a tertiary medical center. Patients were treated with endoscopic laser cordectomy (types II–IV cordectomies according to European Laryngological Society classification of endoscopic cordectomies) and open cordectomy through laryngofissure. Follow-up period was 60 months. Clinical and oncological results were followed postoperatively. Voice quality after the treatment was assessed using multidimensional voice analysis 12 months after the treatment. Results. There were no significant differences between oncological and functional results among two groups of patients, though complications were more frequent in patients treated with open cordectomy. Conclusion. Endoscopic laser surgery should be the first treatment of choice in treatment of early glottic carcinomas, though open approach through laryngofissure should be available for selected cases where anatomical factors present limiting adequate tumor removal.
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spelling pubmed-40607882014-07-02 Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement Milovanovic, Jovica Jotic, Ana Djukic, Vojko Pavlovic, Bojan Trivic, Aleksandar Krejovic-Trivic, Sanja Milovanovic, Andjela Milovanovic, Aleksandar Artiko, Vera Banko, Bojan Biomed Res Int Research Article Introduction. Glottic carcinoma can be successfully diagnosed in its early stages and treated with high percentage of success. Organ preservation and optimal functional outcomes could be achieved with wide array of surgical techniques for early glottic cancer, including endoscopic approaches or open laryngeal preserving procedures, making surgery the preferred method of treatment of early glottic carcinoma in the last few years. Material and Methods. Prospective study was done on 59 patients treated for Tis and T1a glottic carcinoma over a one-year time period in a tertiary medical center. Patients were treated with endoscopic laser cordectomy (types II–IV cordectomies according to European Laryngological Society classification of endoscopic cordectomies) and open cordectomy through laryngofissure. Follow-up period was 60 months. Clinical and oncological results were followed postoperatively. Voice quality after the treatment was assessed using multidimensional voice analysis 12 months after the treatment. Results. There were no significant differences between oncological and functional results among two groups of patients, though complications were more frequent in patients treated with open cordectomy. Conclusion. Endoscopic laser surgery should be the first treatment of choice in treatment of early glottic carcinomas, though open approach through laryngofissure should be available for selected cases where anatomical factors present limiting adequate tumor removal. Hindawi Publishing Corporation 2014 2014-06-02 /pmc/articles/PMC4060788/ /pubmed/24991554 http://dx.doi.org/10.1155/2014/464781 Text en Copyright © 2014 Jovica Milovanovic et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Milovanovic, Jovica
Jotic, Ana
Djukic, Vojko
Pavlovic, Bojan
Trivic, Aleksandar
Krejovic-Trivic, Sanja
Milovanovic, Andjela
Milovanovic, Aleksandar
Artiko, Vera
Banko, Bojan
Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title_full Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title_fullStr Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title_full_unstemmed Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title_short Oncological and Functional Outcome after Surgical Treatment of Early Glottic Carcinoma without Anterior Commissure Involvement
title_sort oncological and functional outcome after surgical treatment of early glottic carcinoma without anterior commissure involvement
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060788/
https://www.ncbi.nlm.nih.gov/pubmed/24991554
http://dx.doi.org/10.1155/2014/464781
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