T1a 声門癌へのレーザー声帯切除術 type III の検討 Type III Laser Surgery for T1a Glottic Carcinoma

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著者

    • 室野 重之 MURONO Shigeyuki
    • 金沢大学大学院医学系研究科感覚運動病態学(耳鼻咽喉科・頭頸部外科) Department of Otolaryngology, Head and Neck Surgery, Kanazawa University Graduate School of Medicine
    • 吉崎 智一 YOSHIZAKI Tomokazu
    • 金沢大学大学院医学系研究科感覚運動病態学(耳鼻咽喉科・頭頸部外科) Department of Otolaryngology, Head and Neck Surgery, Kanazawa University Graduate School of Medicine

抄録

Early glottic caner is usually treated with radiotherapy. For untreated early laryngeal cancer, surgery including laser microsurgery can also be considered. The laser cordectomy procedure can be categorized into several types according to the depth of resection. One out of sixteen patients treated with type I (subepithelial) or type II (subligamental) laser cordectomy for untreated T1aN0M0 glottic cancer had a recurrence during the follow-up period. One in four patients treated with type III (transmuscular) laser cordectomy had a recurrence. Evaluation of postoperative voice with the voice handicap index-10 (VHI-10), voice-related quality of life questionnaire (V-RQOL) and visual analog scale (VAS) demonstrated comparable satisfaction between patients treated with type I or type II and patients treated with type III. These results suggest that type III laser cordectomy, in addition to type I and type II can be an optional treatment for T1a glottic cancer, providing satisfactory outcomes for control rate and postoperative voice quality.

収録刊行物

  • 喉頭 = The Larynx Japan

    喉頭 = The Larynx Japan 23(1), 19-21, 2011-06-01

    THE JAPAN LARYNGOLOGICAL ASSOCIATION

参考文献:  11件中 1-11件 を表示

被引用文献:  1件中 1-1件 を表示

各種コード

  • NII論文ID(NAID)
    10030273630
  • NII書誌ID(NCID)
    AN10200295
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    09156127
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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