Preliminary investigation of coblation for early glottic carcinoma
10.3760/cma.j.issn.1673-0860.2011.01.022
- VernacularTitle:等离子射频治疗早期声门型喉癌的初步研究
- Author:
Qing-Feng ZHANG
1
;
De-Long LIU
;
Yue ZHANG
;
Shu-Lin CUI
;
Cui-Ping SHE
;
Wei SONG
;
Xin-Ran ZHANG
Author Information
1. 辽宁省大连市中心医院
- Keywords:
Laryngeal neoplasms;
Carcinoma,squamous cell;
Catheter ablation;
Laryngoscopy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2011;46(1):63-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish whether Coblation is a suitable modality for removal of early glottic carcinoma. Methods Fourteen patients with early glottic carcinoma (Tis-T2) without lymph node metastasis underwent resection of laryngeal cancer lesions using transoral endoscopic coblation (TEC),without pre- or post-operative radiotherapy and chemotherapy. Results No severe complication such as bleeding and dyspnea ocuurred in the cases. Only mild postoperative pain happened to the patients. All patients could eat and pronunce on the surgery day. With following-up of 25-37 months, no recurrence was observed in 13 cases. One case, with poorly differentiated squamous cell lesion in the anterior commissure invading subglottic, recurred 3 months postoperatively. The patient received the re-resection of laryngeal lesion by coblation, but another recurrence happened to the patient 6 months postoperatively, and then was cured by partial laryngectomy, with recurrence-free survival 21 months postoperatively. Conclusion The observation suggests that transoral endoscopic coblation is a reliable and safe modality for the resection of early glottic carcinoma.
