Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy : a European Laryngological Society consensus statement
Piazza, Cesare (University of Brescia)
Paderno, Alberto (University of Brescia)
Sjögren, Elisabeth (Leiden University Medical Centre)
Bradley, Patrick (Nottingham University Hospitals NHS Trust (Regne Unit))
Eckel, Hans Edmund (Klagenfurt General Hospital)
Mäkitie, Antti A (Helsinki University Hospital (Finlàndia))
Matar, Nayla (Saint Joseph University, Hotel Dieu de France Hospital)
Paleri, Vinidh (The Royal Marsden NHS Foundation Trust)
Peretti, Giorgio (University of Genoa)
Puxeddu, Roberto (Azenda Ospedaliero Universitaria, Presidio Ospedaliero Duilio Casula, Cagliari)
Quer, Miquel (Institut d'Investigació Biomèdica Sant Pau)
Remacle, Marc (Centre Hospitalier du Luxembourg)
Vander Poorten, Vincent (KU Leuven)
Vilaseca, Isabel (Hospital Clínic i Provincial de Barcelona)
Simo, Ricard (Guy's and St Thomas' NHS Foundation Trust (Regne Unit))
Universitat Autònoma de Barcelona

Fecha:	2021
Resumen:	To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery (CO TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT]. Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage CO 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. 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 CO TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up. 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 CO 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 CO TOLMS for LSCC in the salvage setting is presented.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Carbon dioxide laser ; Transoral laser microsurgery ; Laryngeal cancer ; Radiotherapy ; Chemoradiation ; Salvage surgery
Publicado en:	European archives of oto-rhino-laryngology, Vol. 278 (july 2021) , p. 4373-4381, ISSN 1434-4726

DOI: 10.1007/s00405-021-06957-5
PMID: 34226992

9 p, 471.1 KB

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