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Functional outcomes after CO2 laser treatment of early glottic carcinoma.

机译:CO2激光治疗早期声门癌后的功能预后。

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摘要

OBJECTIVES: To analyze vocal outcome after endoscopic CO2 laser treatment of early glottic carcinoma by perceptive and objective assessment. STUDY DESIGN: Retrospective study. METHODS: Retrospective analysis of 141 consecutive patients undergoing surgery for previously untreated early glottic carcinoma between October 1993 and July 2003. Five types of laser cordectomies as classified by the European Laryngological Society classification were performed. Comparison of voice results between the different types of cordectomies as well as with a control group was performed. RESULTS: There was no significant difference in the vocal parameters between subepithelial and subligamental cordectomies and controls (P > .05). There was, however, a significant difference between the groups of transmuscular, total, and extended cordectomies and controls (P < .05). CONCLUSIONS: Good oncologic results and vocal outcomes with no difference between controls and subepithelial and subligamental cordectomies support the use of CO2 laser endoscopic surgery as the first line of treatment for early glottic cancer.
机译:目的:通过感知性和客观性评估分析内镜下CO2激光治疗早期声门癌后的声音结局。研究设计:回顾性研究。方法:回顾性分析1993年10月至2003年7月间连续141例先前未接受治疗的早期声门癌患者的手术情况。根据欧洲喉科学会的分类标准,对五种类型的激光线虫切除术进行了分析。比较了不同类型的电切线组以及对照组的声音结果。结果:上皮下韧带切除术和对照组之间的声音参数没有显着差异(P> .05)。但是,跨肌肉的,总的和扩展的断层和对照组之间存在显着差异(P <.05)。结论:良好的肿瘤学结果和声音结果,而对照组与上皮下及韧带下切除术之间无差异,支持使用CO2激光内窥镜手术作为早期声门癌的第一线治疗方法。

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