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Thomas P. Belson, MD; James A. Duncavage, MD; Robert J. Toohill, MD; Roger H. Lehman, MD

Arch Otolaryngol. 1976;102(5):281-283.

Abstract
• The 1962 TNM classification (T, tumor and extent; N, regional lymph node metastasis, M, distant metastasis) did not emphasize vocal cord fixation in staging. In the revision of 1972, lesions with partial fixation were classified T₂, stage II, and those causing fixation were T₃, stage III. The therapeutic results in 39 patients with fixed cords revealed a determinate five-year survival of 41% and an absolute of 23%. These statistics support the validity of the 1972 classification. Careful evaluation of vocal cord mobility prior to selection of therapy is stressed.

(Arch Otolaryngol 102:281-283, 1976)

Author Affiliations
From the Department of Otolaryngology, Medical College of Wisconsin, and the sections of otolaryngology, Veterans Administration Center and the Milwaukee County Medical Complex, Milwaukee.

Footnotes
Accepted for publication Jan 13, 1976.

Read before the Tri-State Otolaryngology Seminar, Wisconsin Otolaryngology Society, Cable, Wis, Aug 23, 1975.

Reprint requests to Moreland Medical Center, 1111 Delafield, Waukesha, WI 53186 (Dr Belson).

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