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Transoral Laser Microsurgery for Laryngeal Cancer

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Biomedical Optics in Otorhinolaryngology

Abstract

Historically, treatment of laryngeal cancer has been in the form of open transcervical surgery, endoscopic transoral surgery using cold steel instrumentation, and external beam radiation therapy. The advances of direct laryngoscopy, microscopic instrumentation, and lasers in the twentieth century have paved the way for transoral laser microsurgery (TLM), which now competes with, and often replaces, the traditional modalities to treat laryngeal cancer. Currently, TLM is a proven, minimally invasive alternative to open surgery for T1, T2, and selected T3 tumors of the glottis and supraglottis. The results of TLM are comparable to open partial laryngectomy procedures and RT in terms of local control and survival rates. With its low postoperative morbidity, TLM represents an attractive means to surgically remove cancer while preserving the laryngeal framework.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology—Head and Neck Surgery, University of California, Irvine, CA, USA

    Tjoson Tjoa MD & William B. Armstrong MD

  2. Department of Otolaryngology—Head and Neck Surgery, UC Irvine Medical Center, 101 The City Drive South, Bldg. 56, Suite 500, Orange, CA, USA

    William B. Armstrong MD

Authors
  1. Tjoson Tjoa MD
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  2. William B. Armstrong MD
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Correspondence to William B. Armstrong MD .

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Editors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Department of Biomedical Engineering, Division of Facial Plastic Surgery, The Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, California, USA

    Brian J.-F. Wong

  2. Department of Otorhinolaryngology, Plastic, Head and Neck Surgery, RWTH Aachen University Hospital, Aachen, Germany

    Justus Ilgner

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Tjoa, T., Armstrong, W.B. (2016). Transoral Laser Microsurgery for Laryngeal Cancer. In: Wong, BF., Ilgner, J. (eds) Biomedical Optics in Otorhinolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1758-7_4

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  • DOI: https://doi.org/10.1007/978-1-4939-1758-7_4

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