Author/Editor		Rodrigo, Juan Pablo; García-Velasco, Fabian; Ambrosch, Petra; Vander Poorten, Vincent; Suárez, Carlos; Coca-Pelaz, Andrés; Strojan, Primož; Hutcheson, Katherine A.; Folz, Benedikt J.; Bernal-Sprekelsen, M.
Title		Transoral laser microsurgery for glottic cancer in the elderly
Type		članek
Vol. and No.		Letnik 41, št. 6
Publication year		2019
Volume		str. 1816-1823
ISSN		1043-3074 - Head and neck
Language		eng
Abstract		Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited. METHODS: A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (>70%years old, mean 76%years) treated with TLM was made. A systematic review of the literature was performed. RESULTS: Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review indicated that TLM is safe and effective treatment for these patients, with few complications and good local control (>85%) and DSS (>90%) rates. CONCLUSIONS: Our results and the information from the literature show that TLM for glottic cancer in elderly patients can lead to satisfactory treatment results.
Keywords		rak glave in vratu rak grla oralna laserska mikrokirurgija starejši head and neck cancer laryngeal cancer transoral laser microsurgery elderly