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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

Information

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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References

1 Ackerman, LV. Verrucous carcinoma of the oral cavity. Surgery 1948;23:670–8Google ScholarPubMed
2 McDonald, JS, Crissman, JD, Gluckman, JL. Verrucous carcinoma of the oral cavity. Head Neck Surg 1982;5:22–8CrossRefGoogle ScholarPubMed
3 Lee, RJ. Verrucous carcinoma of the larynx. Otolaryngol Head Neck Surg 1988;98:593–5CrossRefGoogle ScholarPubMed
4 Koch, BB, Trask, DK, Hoffman, HT. National survey of head and neck verrucous carcinoma. Cancer 2001;92:110–203.0.CO;2-K>CrossRefGoogle ScholarPubMed
5 Spiro, R. Verrucous carcinoma: then and now. Am J Surg 1998;171;393–7CrossRefGoogle Scholar
6 Oliveira, DT, de Moraes, RV, Filho, JFF. Oral verrucous carcinoma: a retrospective study in Sao Paulo region, Brazil. Clin Oral Invest 2006;10:205–9CrossRefGoogle Scholar
7 Ferlito, A. Atypical forms of squamous cell carcinoma. In: Michaels, L, ed. Pathology of the Larynx. Berlin: Springer, 1984;135–59Google ScholarPubMed
8 Brandsma, JL, Steinberg, BM, Abramson, AL, Winkler, B. Presence of human papillomavirus type 16 related sequences in verrucous carcinoma of the larynx. Cancer 1986;46:2185–8Google ScholarPubMed
9 Dekmezian, RH, Batsakis, JG, Goepfert, H. In situ hybridization of papillomavirus DNA in head and neck squamous cell carcinomas. Arch Otolaryngol Head Neck Surg 1987;113:819–21CrossRefGoogle ScholarPubMed
10 Hagen, P, Lyons, GD, Haindel, C. Verrucous carcinoma of the larynx: role of HPV, radiation and surgery. Laryngoscope 1993;103;253–7CrossRefGoogle ScholarPubMed
11 Burns, HP, Van Nostrand, AWP, Bryce, DP. Verrucous carcinoma of the larynx. Management by radiotherapy and surgery. Ann Otol Rhinol Laryngol 1976;85:538–43Google ScholarPubMed
12 Remacle, M, Eckel, HE. Endoscopic, cordectomy. A proposal for a classification by the working committee, European Laryngological Society. Eur Arch Otorhinolaryngol 2000;257:227–31CrossRefGoogle ScholarPubMed
13 Tharp, ME, Shidnia, H. Radiotherapy in the treatment of verrucous carcinoma of the head and neck. Laryngoscope 1995;105:391–6Google ScholarPubMed
14 Perez, CA, Kraus, FT, Evans, JC, Powers, WE. Anaplastic transformation in verrucous carcinoma of the oral cavity after radiation therapy. Radiology 1966;86:108–15CrossRefGoogle ScholarPubMed
15 Smith, RRL, Kuhadja, FP, Harris, RE. Anaplastic transformation of verrucous carcinoma following radiotherapy. Am J Otolaryngol 1985;6:448–52CrossRefGoogle ScholarPubMed
16 Edstrom, S, Johansson, SL, Lindstrom, J, Sandin, I. Verrucous squamous cell carcinoma of the larynx: evidence for increased metastatic potential after irradiation. Arch Otolaryngol Head Neck Surg 1987;97:381–4CrossRefGoogle ScholarPubMed
17 O'Sullivan, B, Warde, P, Keane, T, Irish, J, Cummings, B, Payne, D. Outcome following radiotherapy in verrucous carcinoma of the larynx. Int J Radiat Oncol Biol Phys 1995;32:611–17CrossRefGoogle ScholarPubMed
18 Strong, MS, Jako, GJ. Laser surgery in the larynx. Early clinical experience with continuous CO2 laser. Ann Otol Rhinol Laryngol 1972;81;791–8CrossRefGoogle Scholar
19 Casiano, RR, Cooper, JD, Lundy, DS, Chandler, JR. Laser cordectomy for T1 glottic carcinoma: a 10 year experience and videostroboscopic findings. Otolaryngol Head Neck Surg 1991;104:831–7CrossRefGoogle ScholarPubMed
20 Peretti, G, Nicolai, P, Piazza, C, Redaelli de Zinis, LO, Valentini, S, Antonelli, AR. Oncological results of endoscopic resections of TIS and T1 glottic carcinomas by CO2 laser. Ann Otol Laryngol 2001;100:820–6Google Scholar
21 Remacle, M, Lawson, G. Transoral laser microsurgery is the recommended treatment for early glottic cancers. Acta Otorhinolaryngol Belg 1999;53:175–8Google ScholarPubMed
22 Shvero, J, Koren, R, Stern, Y, Segal, K, Feinmesser, R, Hadar, T. Laser surgery for the treatment of glottic carcinomas. Am J Otol 2003;24:28–33CrossRefGoogle ScholarPubMed
23 Damm, M, Eckel, HE, Schneider, D, Arnold, G. CO2 laser surgery for verrucous carcinoma of the larynx. Lasers Surg Med 1997;21:117–233.0.CO;2-T>CrossRefGoogle ScholarPubMed
24 Lundgren, JA, Van Nostrand, AW, Harwood, AR, Cullen, RJ, Bryce, DP. Verrucous carcinoma of the larynx: diagnostic and therapeutic considerations. Head Neck Surg 1986;9:19–26CrossRefGoogle ScholarPubMed
25 McCaffrey, T, Witte, M, Ferguson, M. Verrucous carcinoma of the larynx. Ann Otol Rhinol Laryngol 1998;107:391–5CrossRefGoogle ScholarPubMed
26 Ellies, M, Steiner, W. Peri- and postoperative complications after laser surgery of tumors of the upper aerodigestive tract. Am J Otolaryngol 2007;28:168–72Google ScholarPubMed