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

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dc.contributor.author Piazza, Cesare
dc.contributor.author Paderno, Alberto
dc.contributor.author Sjogren, Elisabeth
dc.contributor.author Bradley, Patrick J.
dc.contributor.author Eckel, Hans E.
dc.contributor.author Mäkitie, Antti
dc.contributor.author Matar, Nayla
dc.contributor.author Paleri, Vinidh
dc.contributor.author Peretti, Giorgio
dc.contributor.author Puxeddu, Roberto
dc.contributor.author Quer, Miquel
dc.contributor.author Remacle, Marc
dc.contributor.author Vander Poorten, Vincent
dc.contributor.author Vilaseca, Isabel
dc.contributor.author Simo, Ricard
dc.date.accessioned 2022-02-17T07:07:01Z
dc.date.available 2022-02-17T07:07:01Z
dc.date.issued 2021-11
dc.identifier.citation 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
dc.identifier.other PURE: 168211421
dc.identifier.other PURE UUID: 0e14aae3-ba78-4022-86f6-9c22fd25ad54
dc.identifier.other WOS: 000669762600001
dc.identifier.uri http://hdl.handle.net/10138/340497
dc.description.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. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof European Archives of Oto-Rhino-Laryngology
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Carbon dioxide laser
dc.subject Transoral laser microsurgery
dc.subject Laryngeal cancer
dc.subject Radiotherapy
dc.subject Chemoradiation
dc.subject Salvage surgery
dc.subject RECURRENT GLOTTIC CARCINOMA
dc.subject SQUAMOUS-CELL CARCINOMA
dc.subject PREOPERATIVE CLINICAL PREDICTORS
dc.subject HYPERBARIC-OXYGEN THERAPY
dc.subject FUNCTIONAL OUTCOMES
dc.subject RADIATION-THERAPY
dc.subject SURGERY
dc.subject HEAD
dc.subject NECK
dc.subject MICROLARYNGOSCOPY
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.title Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy : a European Laryngological Society consensus statement en
dc.type Article
dc.contributor.organization HUS Head and Neck Center
dc.contributor.organization Department of Ophthalmology and Otorhinolaryngology
dc.contributor.organization Clinicum
dc.contributor.organization Helsinki University Hospital Area
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s00405-021-06957-5
dc.relation.issn 0937-4477
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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