LASER surgery for early glottic cancer: Our results

Objective: Early stage glottic cancer can usually be successfully treated, as it gives early symptoms and is relatively easy to resect. The vocal cords are poor in lymphatic pathways, so regional metastases are rare. Preservation of the main laryngeal functions: phonation, respiration and swallowing is essential and has great impact on quality of life.Materials and methods: We conducted a retrospective study on 26 patients with early laryngeal carcinoma stage Tis or T1, who underwent LASER chordectomy at Ministry of Interior Medical Institute, Sofia for a period of 2 years.Results: After the operation all patients with Tis and T1a were with histologically clean specimen margins. In 2 cases with T1b the resection borders showed tumor infiltration, which demanded a broader LASER excision. On control examinations, at least one year after the operation no local recurrence was found.Conclusion: Laser surgery of early laryngeal cancer is a method of radical treatment with excellent functional results. Of utmost importance for the success of the operation is the careful histological assessment of the resection lines