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A Preliminary Report

Merrill Feldman, MD; Alptekin Ucmakli, MD; M. Stuart Strong, MD; Charles Vaughan, MD; Simon Kim, MD; Alexsandra Bylinski, DDS

Arch Otolaryngol. 1983;109(4):240-242.

Abstract
• Ten patients with advanced or recurrent squamous cell carcinomas of the upper airway were treated with a combination of carbon dioxide laser surgery and radiation therapy to evaluate the tolerance to rapid sequencing of both modalities in a variety of clinical situations. Other considerations were to accurately stage infiltrating tumors, to provide cytoreduction for T3 and T4 tumors, and to facilitate the optimal placement of intracavitary radium applicators. Because of minimal postoperative pain or dysfunction associated with the laser, patients were able to receive irradiation considerably sooner than with conventional surgery. Local tolerance was good to excellent in seven of the ten patients treated and, based on preliminary results, the combination would appear to offer advantages in curative approaches to advanced head and neck tumors.

(Arch Otolaryngol 1983;109:240-242)

Author Affiliations
From the Departments of Radiation Medicine and Otolaryngology, Boston University Medical Center and University Hospital (Drs Feldman, Strong, Vaughan, Kim, and Bylinski) and the Department of Radiation Therapy, Boston Veterans Administration Medical Center (Dr Ucmakli). Dr Ucmakli is currently with Radiation Oncology, South Bay Hospital, Redondo Beach, Calif. Dr Kim is currently with the Department of Radiation Medicine, St Anne's Hospital, Fall River, Mass. Dr Bylinski is currently with the Department of Medicine, Hershey Medical Center, Harrisburg, Pa.

Footnotes
Accepted for publication Sept 16, 1982.

Read before the International Head and Neck Oncology Research Conference, Washington, DC, Sept 10, 1980.

Reprint requests to Department of Radiation Medicine, University Hospital, 75 E Newton St, Boston, MA 02118 (Dr Feldman).

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