Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy : a European Laryngological Society consensus statement

Autor: Piazza, Cesare, Paderno, Alberto, Sjogren, Elisabeth V., Bradley, Patrick J., Eckel, Hans E., Mäkitie, Antti, Matar, Nayla, Paleri, Vinidh, Peretti, Giorgio, Puxeddu, Roberto, Quer, Miquel, Remacle, Marc, Vander Poorten, Vincent, Vilaseca, Isabel, Simo, Ricard, Universitat Autònoma de Barcelona
Přispěvatelé: HUS Head and Neck Center, Clinicum, Korva-, nenä- ja kurkkutautien klinikka, Helsinki University Hospital Area
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Microsurgery
SURGERY
medicine.medical_treatment
Carbon dioxide laser
Chemoradiation
Laryngeal cancer
Radiotherapy
Salvage surgery
Transoral laser microsurgery
Delphi method
HYPERBARIC-OXYGEN THERAPY
Laryngology
0302 clinical medicine
MICROLARYNGOSCOPY
030223 otorhinolaryngology
FUNCTIONAL OUTCOMES
Chemo-radiotherapy
Recurrent Laryngeal Squamous Cell Carcinoma
General Medicine
3. Good health
Treatment Outcome
Head and Neck Neoplasms
030220 oncology & carcinogenesis
Laser Therapy
SQUAMOUS-CELL CARCINOMA
Glottis
medicine.medical_specialty
Consensus
PREOPERATIVE CLINICAL PREDICTORS
03 medical and health sciences
RECURRENT GLOTTIC CARCINOMA
RADIATION-THERAPY
medicine
Humans
HEAD
3125 Otorhinolaryngology
ophthalmology
Laryngeal Neoplasms
NECK
Salvage Therapy
business.industry
Lasers
General surgery
Cancer
Carbon Dioxide
medicine.disease
Radiation therapy
Otorhinolaryngology
Expert opinion
business
Zdroj: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
European Archives of Oto-Rhino-Laryngology, 278(11), 4373-4381. SPRINGER
European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
Popis: Purpose To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery (CO2 TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT]. Methods Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage CO2 TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process. Results The expert panel reached full consensus on 19 statements through a total of three sequential evaluation rounds. These statements were focused on different aspects of salvage CO2 TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up. Conclusion Management of recurrent LSCC after (C)RT is challenging and is based on the need to find a balance between oncologic and functional outcomes. Salvage CO2 TOLMS is a minimally invasive approach that can be applied to selected patients with strict and careful indications. Herein, a series of statements based on an ELS expert consensus aimed at guiding the main aspects of CO2 TOLMS for LSCC in the salvage setting is presented.
Databáze: OpenAIRE
Externí odkaz: