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

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Piazza , C , Paderno , A , Sjogren , E , Bradley , P J , Eckel , H E , Mäkitie , A , Matar , N , Paleri , V , Peretti , G , Puxeddu , R , Quer , M , Remacle , M , Vander Poorten , V , Vilaseca , I & Simo , R 2021 , ' Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy : a European Laryngological Society consensus statement ' , European Archives of Oto-Rhino-Laryngology , vol. 278 , no. 11 , pp. 4373-4381 . https://doi.org/10.1007/s00405-021-06957-5

Title: Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy : a European Laryngological Society consensus statement
Author: Piazza, Cesare; Paderno, Alberto; Sjogren, Elisabeth; 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
Contributor organization: HUS Head and Neck Center
Department of Ophthalmology and Otorhinolaryngology
Clinicum
Helsinki University Hospital Area
Date: 2021-11
Language: eng
Number of pages: 9
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
DOI: https://doi.org/10.1007/s00405-021-06957-5
URI: http://hdl.handle.net/10138/340497
Abstract: 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.
Subject: Carbon dioxide laser
Transoral laser microsurgery
Laryngeal cancer
Radiotherapy
Chemoradiation
Salvage surgery
RECURRENT GLOTTIC CARCINOMA
SQUAMOUS-CELL CARCINOMA
PREOPERATIVE CLINICAL PREDICTORS
HYPERBARIC-OXYGEN THERAPY
FUNCTIONAL OUTCOMES
RADIATION-THERAPY
SURGERY
HEAD
NECK
MICROLARYNGOSCOPY
3125 Otorhinolaryngology, ophthalmology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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