Get access

Comparison of different surgical approaches in T2 glottic cancer

Authors

  • Konstantinos Mantsopoulos MD,

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author
    • Dr. Konstantinos Mantsopoulos and Dr. Georgios Psychogios contributed equally to this work.

  • Georgios Psychogios MD, PhD,

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author
    • Dr. Konstantinos Mantsopoulos and Dr. Georgios Psychogios contributed equally to this work.

  • Michael Koch MD, PhD,

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author
  • Johannes Zenk MD, PhD,

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author
  • Frank Waldfahrer MD, PhD,

    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author
  • Heinrich Iro MD, PhD

    Corresponding author
    1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    • Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen – Nuremberg Medical School, Erlangen, Germany
    Search for more papers by this author

Abstract

Background

The purpose of this study was to evaluate retrospectively the oncologic results of endoscopic and open surgical techniques in treating T2 glottic carcinomas.

Methods

The medical chart of 354 patients with T2 glottic cancer managed with primary surgery were reviewed. Laser microsurgery and frontolateral partial laryngectomy were compared for disease-specific survival and local control rates, incidence of major complications, and related tracheostomies. Additionally, the influence of the anterior commissure invasion on these oncologic parameters was evaluated.

Results

No statistically significant differences were found between the surgical procedures regarding our oncologic parameters. A lower incidence of tracheotomies and complications were comparatively found for laser surgery. Tumor invasion of the anterior commissure did not seem to influence the oncologic results.

Conclusion

Transoral surgery seems to be the treatment of choice for T2 glottic cancer. In our view, open partial laryngectomy should be reserved for those cases in which the lesion cannot be adequately exposed by direct microlaryngoscopy. © 2011 Wiley Periodicals, Inc. Head Neck, 2012

Ancillary