방사선 치료 후 국소 재발한 성문암에서 구제 수술로서의레이저 성대 절제술

최소희; 이강대; 문효성; 김성원; 김영록; 유태현

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자료유형: 학술저널

저자정보: 최소희 이강대 문효성 김성원 김영록 유태현

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제2호

발행연도: 2007.1

수록면: 139 - 144 (6page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：Salvage surgery for recurrent glotic cancer after radiation failure has been reported in the li-terature as a treatment for total laryngectomy and partial laryngectomy (vertical partial laryngectomy, supracriocoid partial la-ryngectomy) in selected cases. Also, CO2glotic cancer. However, salvage laser surgery for recurrent glotic cancer has been rarely reported. Our experience of transoral laser cordectomy on recurent glottic cancer after radiotherapy is reported. Subjects and Method：Twelve patients with early recurrent glottic cancer after full-course radiotherapy (rT1a, n= 4；rT1b, n= 1；rT2, n= 7) underwent laser cordectomy between October, one type IV, and eight type V performed. One patient underwent type II at one side and type II at the other. Surgery in all the cases were performed at one stage with curative intent. Results：The mean follow-up interval was 30 months (range 17- 44 months) with five out of 12 cases (42% ) having local recurence. Four of the five cases with local recurence underwent total laryn-gectomy. Thre cases were salvaged while one had additional recurence. The other one was under palliative treatment. The local (range 2- 26 days) after surgery, and tracheotomy was performed in four cases (duration：3- 20 days). There was no postope-rative aspiration pneumonia and nasogastric tube was not performed in any of the cases. Conclusion：Transoral laser microsurgery may be a feasible salvage method for recurent glottic cancer to gain oncologic and functional results, and could be used as an or-gan-preserving procedure with curative intent in selected cases. (Korean J Otolaryngol 2007 ;50 :139-44)

#레이저 수술·후두암·재발·방사선 치료. #Laser surgery· Laryngeal neoplasm· Recurrence· Radiotherapy.

참고문헌 (20)

참고문헌 신청

/ 1951 / Limited surgery after failure of radiotherapy and the treat-ment of carcinoma of the larynx

/ 1984 / CO2 la-ser in malignant lesions of the larynx

/ 1984 / Excisional biopsy in the selective management of T1 glottic cancer: A thre-year follow-up study

/ 1991 / Laser cordectomy or T1 glottic carcinoma: A 10-year experience and videostroboscopic finding

/ 1992 / Endoscopic laser surgery in the treatment of radiation failure of early laryngealcarcinoma : 520 ~ 3

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