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Carbon dioxide laser cordectomy for verrucous carcinoma of vocal folds

Published online by Cambridge University Press:  20 October 2009

R Hod ,
R Feinmesser  and
J Shvero
R Hod*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach-Tiqwa, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel
R Feinmesser
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach-Tiqwa, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel
J Shvero
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach-Tiqwa, Israel, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel
*
Address for correspondence: Dr Roy Hod, Department of Otolaryngology–Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, Israel. Fax: +972 3 937 6467 E-mail: royhod2@clalit.org.il
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Abstract

Background:

Verrucous carcinoma occurs infrequently in the vocal folds. This tumour has an excellent prognosis with proper treatment. Management strategies include surgery, radiotherapy or both.

Aim:

To evaluate the long-term results of type I and II laser cordectomy for the treatment of verrucous carcinoma of the vocal folds.

Materials and methods:

We reviewed the files of 18 patients with verrucous carcinoma of the vocal folds treated by type I or II laser cordectomy in our department from 1989 to 2006, and recorded clinical and outcome data.

Results:

None of the patients had any major post-operative complications. All had a subjectively satisfactory quality of voice, with no morbidity. Patient follow up ranged from three to 228 months (mean, 48 months). Five patients were treated with post-operative radiotherapy for persistent disease, of whom four underwent repeated surgery due to recurrence.

Conclusion:

Type I or II laser cordectomy is a safe, feasible, secure method of treating verrucous carcinoma of the vocal folds. There were no major complications in our patient series. Most recurrent disease was manageable locally with repeated surgery.

Keywords

Larynx NeoplasmsVerrucous CarcinomaLaserVocal Cords
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 1 , January 2010 , pp. 55 - 58
Copyright
Copyright © JLO (1984) Limited 2009

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