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Proceedings Paper

Functional results of endoscopic laser surgery in advanced head and neck tumors
Author(s): Haneen Sadick; Antonio Baker-Schreyer; Wolfgang Bergler; Joachim Maurer; Karl Hoermann M.D.
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Paper Abstract

Functional results following lasersurgery of minor laryngeal carcinomas were very encouraging. The indication for lasersurgical intervention was then extended to larger carcinomas of the larynx and hypopharynx. The purpose of this study was to assess vocal function and swallowing ability after endoscopic lasersurgery and to compare the results with conventional surgical procedures. From January 1994 to December 1996, 72 patients with advanced squamous cell carcinoma of the larynx and hypopharynx were examined prospectively. The patients underwent endoscopic lasersurgery instead of laryngopharyngectomy. The voice quality was evaluated pre- and postoperatively by subjective assessment, registration of voice parameters and sonegraphic classification. The swallowing ability was judged according to individual scores. The necessity of tracheostomy and nasogastric tube were registered and the duration of hospitalization was documented. The results showed that laryngeal phonation and swallowing ability were significantly better 12 months after lasersurgery compared to the preoperative findings whereas the recurrence rate was similar or even better after conventional pharyngolaryngectomy. Lasersurgery as an alternative surgical procedure to laryngectomy enables patients to retain a sufficient voice function and swallowing ability.

Paper Details

Date Published: 19 January 1998
PDF: 14 pages
Proc. SPIE 3193, Photothermal Therapies in Medicine, (19 January 1998); doi: 10.1117/12.300829
Show Author Affiliations
Haneen Sadick, Univ. Hospital Mannheim/Univ. of Heidelberg (Germany)
Antonio Baker-Schreyer, Univ. Hospital Mannheim/Univ. of Heidelberg (Germany)
Wolfgang Bergler, Univ. Hospital Mannheim/Univ. of Heidelberg (Germany)
Joachim Maurer, Univ. Hospital Mannheim/Univ. of Heidelberg (Germany)
Karl Hoermann M.D., Univ. Hospital Mannheim/Univ. of Heidelberg (Germany)

Published in SPIE Proceedings Vol. 3193:
Photothermal Therapies in Medicine
Gaetano Bandieramonte; Stephen G. Bown; Fausto Chiesa; Jacques Donnez M.D.; Herbert J. Geschwind M.D.; Gian Francesco Lombard M.D.; Gerhard J. Mueller; Hans-Dieter Reidenbach, Editor(s)

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