Cost Analysis of Transoral Surgery versus XRT for Early-Stage Glottic Cancer

Which treatment for Tis/T1 glottic carcinoma among adult patients, transoral CO2 laser excision (TOL) or external beam radiation (XRT), is superior in terms of cost utility?

Background: Cancer of the larynx is the most common head and neck cancer, with 75 percent of cases confined to the level of the glottis. The goal of treatment for this highly curable disease is to cure with the best achievable functional result, with no serious complications and in a cost-effective manner.

Study design: Literature review cost-utility analysis