Résumé
23 patients atteints de carcinome des cordes vocales, sans atteinte de leur mobilité (T1N0) ont été traites par cordectomie endoscopique au laser CO2 dans le Département O.R.L. de ľUniversite de Catania.
En comparaison avec les méthodes chirurgicales traditionnelles, les cordectomies endoscopiques au laser CO2 presentent des avantages ďun point de vue technique : large acces visuel a la lesion et remarquable précision grâce à la micro-chirurgie ; du point de vue biologique : réduction des risques de diffusion néoplasique possible ; du point de vue clinique : traumatisme minime, absence de complications infectieuses, absence ďcedeme et de processus inflammatoires secondaires.
Afin ďatteindre ces bons résultats du traitement, il faut avoir la possibilité ďune exposition adéquate du larynx et il importe de respecter correctement les indications chirurgicales.
Summary
23 patients with vocal cord carcinoma, presenting no changes in the cord motility (T1N0) have been treated in E.N.T. Department of Catania University with an endoscopic surgical cordectomy with CO2 laser.
Compared with the traditional surgical systems, endoscopic cordectomies with CO2 laser have advantages in the technical field : the wide vision of the lesion and the remarkable precision by using a surgical microscope ; in the biological field : reduction of risks coming from a possible neoplastic spreading ; in the clinical field : little traumatism, absence of œdema and secondary inflammatory processes.
To get good results from this surgical treatment it is necessary to have the possibility of an adequate exposure of larynx and to respect surgical indications.
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Réferénces
ANNYAS A.A. et Al. — CO2 laser in malignant lesions of the larynx.Laryngoscope, 1984, 94, 836–838.
BURIAN K., HOFLER H. — Zur mikrochirurgischen therapie von stimmbandkarzinomen mit dem CO2 laser.Laryng. Rhinol. Otol., 1979, 58, 551–556.
DAVIS K. et Al. — Treatment airway management in obstructing carcinoma of the larynx.Otolaryngol. Head Neck Surg., 1981, 89, 209–214.
DAVIS K. et Al. — Treatment of upper aerodigestive tract cancers with CO2 laser.Ear, Nose and Throat J., 1982, 61, 48–58.
KAPLAN I. et Al. — Carbon dioxide laser in head and neck surgery.The American Journal of Surgery, 1974, 128, 543–544.
LILLIE J.C., De SANTO L.W. — Transoral surgery of early cordal carcinoma.Trans. Amer. Acad, of Ophthalmol, and Otolaryngol, 1973, 77, 92–96.
LYNCH R.C. — Intrinsic carcinoma of the larynx, with a second report of the vases operated on by suspension and dissection.Trans. Amer. Laryng. Ass., 1920, 42, 119–126.
MIELHKE K. et Al. — Cryosurgery and laser surgery in the treatment of the malignant and benign laryngeal processes.ORL, 1979, 41, 273–287.
MIHASHI S. et Al. — Laser surgery in Otolaryngology: interaction of CO2 laser and soft tissue.N.Y. Acad. Sci., 1976, 267, 263–293.
NEW G.B., DORTON H.E. — Suspension laryngoscopy in the treatment of malignant diseases of the hypopharynx and larynx.Mayo Clin. Proc., 1941, 16, 411–416.
SCHENK P. — Die ultrastruktur von haut-und schleim-hautgeweben nach CO2 laserreinwirkung.Laryng. Rhinol., 1979, 58, 770–777.
STRONG M.S. — Laser excision of carcinoma of the larynx.Laryngoscope, 1975, 85, 1286–1286.
STRONG M.S., et Al. — The use of CO2 laser in Otolaryngology: a progress report.Trans. Am. Acad. Ophthal. Otolaryngol., 1976, 82, 595–602.
STUTSMAN A.C., MC GAVRAN M.H. — Ultraconservative management of superficially invasive epidermoid carcinoma of the true vocal cord.Ann. Otol., 1971, 80, 507–512.
VAUGHAN C.W. — Transoral laryngeal surgery using the CO2 laser: laboratory experiments and clinical experiences.Laryngoscope, 1978, 88, 1399–1420.
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Catalano, G.B., Serra, A., Arcidiacono, A. et al. Traitement endoscopique au laser CO2 du cancer des cordes vocales. Acta Endosc 16, 219–224 (1986). https://doi.org/10.1007/BF02962919
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DOI: https://doi.org/10.1007/BF02962919