SpringerLink
Log in

Transoral Laser Resection for Glottic and Supraglottic Tumours

  • Chapter
  • First Online:
Atlas of Head and Neck Surgery

Part of the book series: Springer Surgery Atlas Series ((SPRISURGERY))

  • 191 Accesses

Abstract

Otolaryngologists were amongst the first medical professionals to realise the potential of laser surgery [1]. Briedemeier’s development of endoscopic equipment and the micromanipulator enabled the delivery of carbon dioxide (CO2) laser energy to the larynx with the microscope [2]. Laser surgery for laryngeal malignancy was pioneered by Vaughan in 1978 [3], and since then, transoral laser surgery for early glottic and supraglottic carcinomas has increased in popularity, offering organ preservation surgery as an alternative to radiotherapy. Wolfgang Steiner and colleagues made significant advances in transoral laser surgery, extending the application of this technique to locally advanced and recurrent laryngeal cancers [4–6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Duncavage J, Ossoff R. Laser application in the tracheobronchial tree. Otolaryngol Clin N Am. 1990;23:67–75.

    Article  CAS  Google Scholar 

  2. Polanyi T, Bredemeier H, Davis T. A CO2 laser for surgical research. Med Biol Eng. 1970;8:541–8.

    Article  CAS  PubMed  Google Scholar 

  3. Vaughan CW, Strong MS, Jako GJ. Larygneal carcinoma: transoral treatment utilizing the CO2 laser. Am J Surg. 1978;163:490–3.

    Article  Google Scholar 

  4. Steiner W, Vogt P, Ambrosch P, Kron M. Transoral carbon dioxide laser microsurgery for recurrent glottic carcinoma after radiotherapy. Head Neck. 2004;26:477–84.

    Article  PubMed  Google Scholar 

  5. Canis M, Ihler F, Martin A, Wolff HA, Matthias C, Steiner W. Organ preservation in T4a laryngeal cancer: is transoral laser microsurgery an option? Eur Arch Otorhinolaryngol. 2013;270:2719–27.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Canis M, Ihler F, Martin A, Wolff HA, Matthias C, Steiner W. Results of 226 patients with T3 laryngeal carcinoma after treatment with transoral laser microsurgery. Head Neck. 2014;36:652–9.

    Article  PubMed  Google Scholar 

  7. Omi T, Numano K. The role of the CO2 laser and fractional CO2 laser in dermatology. Laser Ther. 2014;23:49–60.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Ahmed F, Kinshuck AJ, Harrison M, O’Brien D, Lancaster J, Roland NJ, et al. Laser safety in head and neck cancer surgery. Eur Arch Otorhinolaryngol. 2010;267:1779–84.

    Article  PubMed  Google Scholar 

  9. English J, Norris A, Bedforth N. Anaesthesia for airway surgery. Contin Educ Anaesth Crit Care Pain. 2006;6(1):28–31. https://doi.org/10.1093/bjaceaccp/mki060.

    Article  Google Scholar 

  10. Hemantkumar I. Anesthesia for laser surgery of the airway. Int J Otorhinolaryngol Clin. 2017;9:1–5.

    Article  Google Scholar 

  11. O’Hara J, Markey A, Homer JJ. Transoral laser surgery versus radiotherapy for tumour stage 1a or 1b glottic squamous cell carcinoma: systematic review of local control outcomes. J Laryngol Otol. 2013;127:732–8.

    Article  PubMed  Google Scholar 

  12. Warner L, Lee K, Homer J. Transoral laser microsurgery versus radiotherapy for T2 glottic squamous cell carcinoma: a systematic review of local control outcomes. Clin Otolaryngol. 2017;42:629–36.

    Article  CAS  PubMed  Google Scholar 

  13. Canis M, Ihler F, Martin A, Matthias C, Steiner W. Transoral laser microsurgery for T1a glottic cancer: review of 404 cases. Head Neck. 2015;37:889–95.

    Article  PubMed  Google Scholar 

  14. Lester SE, Rigby MH, Taylor SM. Transoral laser microsurgery outcomes with early glottic cancer: the Dalhousie University experience. J Laryngol Otol. 2011;125:509–12.

    Article  CAS  PubMed  Google Scholar 

  15. Lucioni M, Marioni G, Bertolin A, Giacomelli L, Rizzotto G. Glottic laser surgery: outcomes according to 2007 ELS classification. Eur Arch Otorhinolaryngol. 2011;268:1771–8.

    Article  PubMed  Google Scholar 

  16. Taylor SM, Kerr P, Fung K, Aneeshkumar MK, Wilke D, Jiang Y, et al. Treatment of T1b glottic SCC: laser vs. radiation—a Canadian multicenter study. J Otolaryngol Head Neck Surg. 2013;42:22.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Peretti G, Piazza C, Cocco D, De Benedetto L, Del Bon F, Redaelli De Zinis LO, Nicolai P. Transoral CO(2) laser treatment for T(is)-T(3) glottic cancer: the University of Brescia experience on 595 patients. Head Neck. 2010;32:977–83.

    Article  PubMed  Google Scholar 

  18. Fang TJ, Courey MS, Liao CT, Yen TC, Li HY. Frozen margin analysis as a prognosis predictor in early glottic cancer by laser cordectomy. Laryngoscope. 2013;123:1490–5.

    Article  PubMed  Google Scholar 

  19. Mantsopoulos K, Psychogios G, Koch M, Zenk J, Waldfahrer F, Iro H. Comparison of different surgical approaches in T2 glottic cancer. Head Neck. 2012;34:73–7.

    Article  PubMed  Google Scholar 

  20. Rödel RM, Steiner W, Müller RM, Kron M, Matthias C. Endoscopic laser surgery of early glottic cancer: involvement of the anterior commissure. Head Neck. 2009;31:583–92.

    Article  PubMed  Google Scholar 

  21. Breda E, Catarino R, Monteiro E. Transoral laser microsurgery for laryngeal carcinoma: survival analysis in a hospital-based population. Head Neck. 2015;37:1181–6.

    Article  PubMed  Google Scholar 

  22. Lee HS, Chun BG, Kim SW, Kim ST, Oh JH, Hong JC, Lee KD. Transoral laser microsurgery for early glottic cancer as one-stage single-modality therapy. Laryngoscope. 2013;123:2670–4.

    Article  PubMed  Google Scholar 

  23. Hoffmann C, Cornu N, Hans S, Sadoughi B, Badoual C, Brasnu D. Early glottic cancer involving the anterior commissure treated by transoral laser cordectomy. Laryngoscope. 2016;126:1817–22.

    Article  PubMed  Google Scholar 

  24. Rudert HH, Werner JA, Hoft S. Transoral carbon dioxide laser resection of supraglottic carcinoma. Ann Otol Rhinol Laryngol. 1999;108:819–27.

    Article  CAS  PubMed  Google Scholar 

  25. Cabanillas R, Rodrigo JP, Llorente JL, Suárez C. Oncologic outcomes of transoral laser surgery of supraglottic carcinoma compared with a transcervical approach. Head Neck. 2008;30:750–5.

    Article  PubMed  Google Scholar 

  26. Motta G, Esposito E, Testa D, Iovine R, Motta S. CO2 laser treatment of supraglottic cancer. Head Neck. 2004;26:442–6.

    Article  PubMed  Google Scholar 

  27. Higgins KM. What treatment for early-stage glottic carcinoma among adult patients: CO2 endolaryngeal laser excision versus standard fractionated external beam radiation is superior in terms of cost utility? Laryngoscope. 2011;121:116–34.

    Article  PubMed  Google Scholar 

  28. National Institute for Health and Care Excellence. 2016. Cancer of the upper aerodigestive tract: assessment and management in people aged 16 and over (NICE Guideline NG36). https://www.nice.org.uk/guidance/ng36/chapter/Recommendations. Accessed 3 Dec 2018.

  29. Spielmann P, Majumdar S, Morton R. Quality of life and functional outcomes in the management of early glottic carcinoma: a systematic review of studies comparing radiotherapy and transoral laser microsurgery. Clin Otolaryngol. 2010;35:373–82.

    Article  CAS  PubMed  Google Scholar 

  30. Remacle M, Van Haverbeke C, Eckel H, Bradley P, Chevalier D, Djukic V, et al. Proposal for revision of the European laryngological society classification of endoscopic cordectomies. Eur Arch Otorhinolaryngol. 2007;264:499–504.

    Article  PubMed  Google Scholar 

  31. Bradley PJ, Mackenzie K, Wight R, Pracy P, Paleri V, ENT-UK Head & Neck Group. Consensus statement on management in the UK: transoral laser assisted microsurgical resection of early glottic cancer. Clin Otolaryngol. 2009;34:367–73.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ear, Nose and Throat, Head and Neck Cancer, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

    Laura Warner

  2. Department of Otorhinolaryngology, University of Barcelona, Hospital Clinic, Barcelona, Spain

    Isabel Vilaseca

  3. Department of Otolaryngology, The Freeman Hospital, Newcastle-upon-Tyne, UK

    James O’Hara

Authors
  1. Laura Warner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Isabel Vilaseca
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. James O’Hara
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Laura Warner .

Editor information

Editors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Guy’s and St Thomas’ Hospital NHS Foundation Trust, London, UK

    Ricard Simo

  2. Department of Otorhinolaryngology, University Hospitals Birmingham NHS Foundation Trust, London, UK

    Paul Pracy

  3. Division of Head and Neck Surgery, Department of Maxillofacial Surgery, University of Florida Health, Jacksonville, FL, USA

    Rui Fernandes

Rights and permissions

Reprints and permissions

Copyright information

© 2024 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Warner, L., Vilaseca, I., O’Hara, J. (2024). Transoral Laser Resection for Glottic and Supraglottic Tumours. In: Simo, R., Pracy, P., Fernandes, R. (eds) Atlas of Head and Neck Surgery . Springer Surgery Atlas Series. Springer, Cham. https://doi.org/10.1007/978-3-031-36593-5_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-36593-5_36

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-36592-8

  • Online ISBN: 978-3-031-36593-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation