ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Literature Review: A Roundup of Important Recent Studies

February 1, 2013

  • Tweet
  • Email
Print-Friendly Version
  • TLM Safe Salvage Option for T1a and T1b Glottic Cancers
  • Post-Operative Pain and Bleeding Risk Following Tonsillectomy
  • Tissue-Engineered Regeneration of Mastoid Air Cells Improves Eustachian Tube Function
  • Two-Stage Process Repairs Internal Lining in Nasal Deformity
  • Impact of Treatment Modality and Radiation Technique in Cancer Patients
  • Psychological Impact of Wait Time for Thyroid Surgery

You Might Also Like

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A roundup of important recent studies
Explore This Issue
February 2013

TLM Safe Salvage Option for T1a and T1b Glottic Cancers

What is the role of transoral laser microsurgery (TLM) for salvage in radiation failures for selected glottic cancers?

Background: TLM has replaced open laryngeal surgery for managing early glottic cancer, while preserving organ and function. It is also easily repeated for local recurrences, with better functional outcomes and shorter hospitalizations. This study was conducted to address TLM in the management of recurrent glottic cancer after failure of definitive radiation.

Study design: Retrospective analysis of medical records of 18 patients with recurrent T1 and T2 of the glottis after receiving radiation therapy. Records between 2002 and 2007 were examined.

Setting: Academic medical center in South Korea.

Synopsis: Only patients with recurrent glottic cancers were included in this study. All had received primary radiation and were re-staged at the time of recurrence with CT scans, endoscopy and biopsies due to a tendency to understage these recurrences initially. Only recurrent T1 and T2 cancers with adequate exposure were selected for TLM. A vestibulectomy was performed, followed by a CO2 laser en bloc or piecemeal excision. Frozen section of the margins was performed, and no patients underwent a neck dissection. The three- and five-year local control rates after TLM were 65 percent and 40 percent, respectively. Local control rates were much lower for those with anterior commissure involvement. Six of the 18 patients underwent salvage laryngectomies. There was a 90 percent disease-specific five-year survival after either salvage surgery or TLM.

Bottom line: Although the sample size was small, this retrospective study demonstrates that TLM is a relatively safe salvage option for recurrent T1a and T1b glottic cancers. For T2 and anterior commissure cancers, the high local recurrence rate makes TLM a less feasible option.

Reference: Han YJ, Lee SH, Kim SW, et al. Transoral laser microsurgery of recurrent early glottis cancer after radiation therapy: clinical feasibility and limitations. Ann Otol Rhinol Laryngol. 2012;121:375-382.

—Reviewed by Natasha Mirza, MD

Post-Operative Pain and Bleeding Risk Following Tonsillectomy

What is the association of post-operative pain and risk of hemorrhage after tonsillectomy?

Background: Tonsillectomies are among the most common medical procedures performed in the U.S., and their most common serious complication is post-operative hemorrhage. A high proportion of patients also suffer various degrees of post-operative pain. This study sought to investigate the association of post-operative pain behavior with post-operative hemorrhage.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Uncategorized Tagged With: eustachian tube, glottic cancer, tonsillectomyIssue: February 2013

You Might Also Like:

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A roundup of important recent studies

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Non-Acidic Reflux Explains Lack of Response to H2 Blockers and PPIs
    • How 3D Printing Is Transforming the Pediatric Otolaryngology Field
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Why Virtual Grand Rounds May Be Here to Stay
    • Otolaryngologist Leverages His Love of Pinball into Second Business
    • These New Imaging Advances May Help to Protect Parathyroids
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Which Otologic Procedures Poses the Greatest Risk of Aerosol Generation?

Polls

Have you used 3D-printed materials in your otolaryngology practice?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.