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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 11. no 3. September 2012  

 Original articles
The evaluation of oncological efficiency of laser chordectomy in the 5-year follow-up
Magdalena Doroszyńska-Tomczyk, Wojciech Kaźmierczak, Zuzanna Pujanek

Introduction. Glottis remains the airway tract area with the
highest predisposition to the development of cancer. Due to
the rapid occurrence of symptoms, early diagnosis is possible
to be made, which enables to carry out less invasive operation
like laser cordectomy.
Aim. The aim of the study was analyzing the results of treatment
in patients with low advanced larynx cancer who had undergone
laser cordectomy.
Materials and methods. The study involved 79 people (71 men
and 8 women) with cancer of the glottis treated by surgery at the
Department of Otolaryngology of Independent Public Hospital
named by Dr A. Jurasz in Bydgoszcz between 2000 and 2004.
Results. Failure of treatment was observed in 16 (20%) from
the 79-person group of patients. Fiftheen (94%) patients
experienced local recurrence, while in one case there were
metastases to cervical lymph nodes. Median time to recurrence
was 21.2 months. In the treatment of local recurrence total
laryngectomy was the most common type of reoperation. In
other cases, sparing operations were performed, including
subsequent laser cordectomy.
Conclusions. Low advanced glottis cancers can be successfully
treated by laser cordectomy.

keywords: chordektomia laserowa, rak głośni, całkowita laryngektomia, wznowa miejscowa, leczenie onkologiczne

pages: from 109 to 114

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