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Guidelines in Management of Early Laryngeal Cancers (T1 and T2)

  • Sudhir Bahadur
  • Alok Thakar
Chapter

Abstract

The aim of treatment in early cancers of the larynx is to obtain high cure rates and preserve all laryngeal functions, i.e. voice, airway and aspiration-free swallowing. Since the cure rates with different treatment modalities such as radiotherapy, endoscopic laser and open partial laryngectomy do not differ significantly, therapeutic decisions are influenced by factors such as voice quality, patient’s choice, availability to treatment expertise and cost-effectiveness of treatment. However, during the last decade, the paradigm for treatment of early laryngeal cancer has shifted away from open partial laryngectomy as initial treatment to either radiotherapy or to TOLS (trans-oral laser surgery). The role of open partial laryngectomy has been mostly relegated to salvage setting following radiation failures.

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Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Sudhir Bahadur
    • 1
  • Alok Thakar
    • 2
  1. 1.Department of Otolaryngology and Head-Neck SurgeryFormerly at All India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Otolaryngology and Head-Neck SurgeryAll India Institute of Medical SciencesNew DelhiIndia

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