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The Treatment of T3 Glottic Carcinoma With Vertical Partial Laryngectomy
David J. Kessler, MD;
Terrence K. Trapp, MD;
Thomas C. Calcaterra, MD
Arch Otolaryngol Head Neck Surg. 1987;113(11):1196-1199.
Abstract
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• Total laryngectomy has traditionally been considered the optimal treatment for patients with advanced glottic carcinoma who present with a fixed true vocal cord. However, using whole-organ sectioning techniques, it has been demonstrated that vertical partial laryngectomy is a sound oncologic procedure for selected fixed vocal cord lesions. During the period 1969 to 1984, 27 patients who presented at UCLA with T3 glottic carcinoma were treated using vertical partial laryngectomy. Follow-up for these patients averaged 4.0 years. The absolute two-year disease-free survival rate for this group was 85% (23 of 27 patients), and the local cancer recurrence rate during a two-year postoperative interval was 11% (three of 27 patients). These encouraging results support the continued use of partial laryngeal surgery for a subgroup of patients with T3 glottic cancer. Successful patient selection requires a careful analysis of disease extent based on data obtained from physical examination, magnetic resonance imaging or computed tomographic scanning, and direct laryngoscopy.
(Arch Otolaryngol Head Neck Surg 1987;113:1196-1199)
Author Affiliations
From the Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine.
Footnotes
Accepted for publication June 17, 1987.
Read before the American Society for Head and Neck Surgery, Denver, April 29, 1987.
Reprint requests to Division of Head and Neck Surgery, UCLA School of Medicine, CHS 62-158, 10833 LeConte Ave, Los Angeles, CA 90024 (Dr Calcaterra).
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