|
|||
Aktuelles |
|||
Throat Cancer Treatment Options: Transoral Laser Microsurgery as Primary ChoiceSeptember 1, 2010 - Santa Clara, CA Lumenis Ltd., one of the world's largest medical laser companies and a global developer, manufacturer and seller of laser, light-based and radiofrequency devices for surgical, aesthetic, and ophthalmic applications, strives to provide both physicians and patients the latest technology and information on throat cancer for empowered decisions. Transoral Laser Microsurgery (TLM) Laryngeal and head and neck laser surgeons have long desired increased simplification, effectiveness and safety for laser procedures close to delicate structures such as vocal cords or larger blood vessels. TLM is a viable option for several types of head and neck cancers allowing physicians to target tumors without the need of open surgery. TLM vs. Radiation Therapy The CO2 laser system for TLM has clinically proved to provide equal or superior outcomes for the patient, with early stage disease, when compared to radiation therapy. Radiation could further lead to side-effects of mucositis, chondronecrosis and poor wound healing. A recent Canadian study analyzed the cost of radiation versus TLM in early glottic cancer. The study, conducted retrospectively, found that TLM should be the preferred treatment option, as it is more economical and has excellent outcomes (2). TLM is generally an outpatient procedure, usually lasting up to 90 minutes, in contrast to radiation therapy which will take several weeks. In many cases patients who receive radiation as primary treatment may lose the option of having minimally invasive surgery. Patients are then 12.7 times more likely to have a total laryngectomy, removal of the entire voice box, if radiation was unsuccessful (3). If you treat your patient with radiotherapy you burn the bridge and cannot come back and perform radiotherapy again. If you have to perform surgery it will be more complicated, have longer healing times, impacting safety of the surgery and so on. Definitely, I am in favor of TLM as a primary line of treatment, if possible, states Dr. Marc Remacle, Academic Professor of the faculty of Medicine at the University of Louvain, Belgium. Video Symposia on 'Fiber, Automated and Robotic CO2 Laser Surgery for Laryngeal Disease' About Lumenis For further information contact: 1. Sjogren, Elisabeth V. MD, Et Al, Voice Outcome in T1a Midcord Glottic Carcinoma Laser Surgery vs Radiotherapy, Arch Otolaryngology Head Neck Surg/Vol 134 (No. 9), Sep 2008; Schrijvers, Michiel L., MD, Higher Laryngeal Preservation Rate After CO2 Laser Surgery Compared With Radiotherapy In T1a Glottic Laryngeal Carcinoma, Head & Neck/ DOI 10.1002/hed June 2009 2. Phillips, TJ, C. Sader, T. Brown, M. Bullock, D. Wilke, JR Trites, R. Hart, M. Murhpy, and SM Taylor. "Transoral Laser Microsurgery versus Radiation Therapy for Early Glottic Cancer in Canada: Cost Analysis." J Otolaryngol Head Neck Surg. 38.6 (2009): 619-23. PubMed. PubMed U.S. National Library of Medicine. Web. 18 Aug. 2010. <http://www.ncbi.nlm.nih.gov/pubmed/19958723>. 3. Mahler, V., M. Boysen, and K. Brondbo. "Radiotherapy or CO(2) Laser Surgery as Treatment of T(1a) Glottic Carcinoma?" Eur.Arch.Otorhinolaryngoly 267 (2010): 743-50. Web. 19 Aug. 2010. |
|||
|
|
|||
| ©2012 Lumenis Chirurgie | |||