Laser resection for early oral cavity cancer. Results and complications.
Laser excision of early selected cancers of the oral cavity and pharynx is a well accepted and reported treatment. Postoperative radiation therapy is employed in patients with unfavorable pathologic findings and in patients expected to have a high recurrence and metastatic rate. In most patients the combination of laser excision and postoperative radiation therapy is well tolerated and results in satisfactory healing, excellent tumor control, and high-level posttreatment function. This report discusses the treatment and results in 28 patients treated for early cancer of the oral cavity and pharynx. The local control rate of 77% compares favorably with the reported results following either conventional or laser excision of these lesions. The overall complication rate was 39%, with a 25% rate for patients not receiving postoperative radiation therapy, and a 58% complication rate for patients treated with postoperative radiation.
Nagorsky
M J
MJ
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, MO 63110.
Sessions
D G
DG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000844:Ankylosis / Q000209:etiology; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects; D008297:Male; D008334:Mandible / Q000473:pathology; D008336:Mandibular Diseases / Q000209:etiology; D008875:Middle Aged; D009059:Mouth Diseases / Q000209:etiology; D009060:Mouth Floor; D009062:Mouth Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D009336:Necrosis; D014062:Tongue Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D014313:Trismus / Q000209:etiology; D014456:Ulcer / Q000209:etiology