Surgical Treatment of Early Glottic Cancer

Jennifer A Silver; Sena Turkdogan; Catherine F Roy; Karen M Kost

doi:10.1016/j.otc.2022.12.009

Surgical Treatment of Early Glottic Cancer

Otolaryngol Clin North Am. 2023 Apr;56(2):259-273. doi: 10.1016/j.otc.2022.12.009.

Authors

Jennifer A Silver¹, Sena Turkdogan¹, Catherine F Roy¹, Karen M Kost²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada.
² Department of Otolaryngology-Head and Neck Surgery, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada. Electronic address: kmkost@yahoo.com.

PMID: 37030939
DOI: 10.1016/j.otc.2022.12.009

Abstract

The incidence of all head and neck malignancies is rising worldwide, with carcinoma of the larynx constituting approximately 1% of all cancers. Early glottic cancer responds quite favorably to surgical intervention due to its early presentation, coupled with the low rate of regional and distant metastases. This article focuses on various approaches to the surgical treatment of early glottic cancer. Details include the clinical and radiological evaluation of laryngeal cancer, the goals of treatment, current surgical options for early disease, approach to surgical resection margins and management of nodal disease, and complications associated with each treatment modality.

Keywords: Early glottic cancer; Endoscopic surgery; Laryngeal cancer; Transoral laser microsurgery; Vocal fold.

Publication types

Review

MeSH terms

Carcinoma, Squamous Cell* / surgery
Glottis / surgery
Humans
Laryngeal Neoplasms* / pathology
Laryngeal Neoplasms* / surgery
Laser Therapy*
Microsurgery
Neoplasm Staging
Retrospective Studies