Laryngeal Laser Resections with Frozen Section

Autor:	Rebecca Dawson, Zvorufura G. G. Makura, Tosief Zahoor
Rok vydání:	2012
Předmět:	medicine.medical_specialty Frozen section procedure business.industry medicine.medical_treatment Cancer Histology Retrospective cohort study medicine.disease Patient preference Surgery Radiation therapy Otorhinolaryngology Second Look Surgery medicine Carcinoma business
Zdroj:	Otolaryngology–Head and Neck Surgery. 147
ISSN:	1097-6817 0194-5998
DOI:	10.1177/0194599812451426a123
Popis:	Objective: To demonstrate that laryngeal laser resections can be done as day case procedures and the use of frozen section histology negates the need for second look surgery that is recommended by the UK consensus report. Demonstrate patient preference for choice of treatment and comparable outcomes for voice with laser resections.Method: A retrospective study of patients who underwent laser resection for T1 and T2 laryngeal carcinoma from December 2002 to September 2009 with prospective analysis of functional outcomes and disease-free survival. Suitable patients presenting to the Leeds Head & Neck Cancer Unit were offered a choice between radiotherapy and laser resection.Results: A total of 60 patients underwent the procedure with greater than 42% patients over the age of 70 years. Ninety percent of patients had intraoperative frozen sections, with concordant histology with final histology in 96%. Forty-two percent of patients had a repeat procedure on average at 10 months of which 36% were recurrence. T...
Databáze:	OpenAIRE
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