ABSTRACT
OBJECTIVE: To evaluate the safety of CO2 laser cordectomy in the treatment of glottic carcinoma as a day-case procedure. STUDY DESIGN: This was a retrospective study of a cohort of 73 patients with glottic carcinoma treated by laser cordectomy as a day-case procedure using a CO2 laser, between January 2000 and June 2004. RESULTS: There were no major complications and no patients required reintubation. More than 90 per cent of the patients were discharged on the day of the procedure. There were seven unplanned admissions to hospital but none of these appeared to be the direct result of the surgery, and the patients were discharged the next day. All the patients stated they would have further surgery in this manner if required. CONCLUSION: Laser cordectomy for glottic carcinoma can be safely performed as an out-patient procedure if patients are carefully selected according to specific criteria.
Subject(s)
Ambulatory Surgical Procedures/methods , Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Laser Therapy/methods , Vocal Cords/surgery , Adult , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/pathology , Female , Glottis , Humans , Intraoperative Period , Laryngeal Neoplasms/pathology , Male , Middle Aged , Neoplasm Staging , Patient Satisfaction , Patient Selection , Retrospective Studies , Treatment OutcomeABSTRACT
Inverted Papilloma is a frequent bening nasosinusal tumour. The high frequency of recurrences and the malignant potential are its clinical characteristics. We present our experience in a retrospective study done in the last 10 years. 10 patients with Inverted Papilloma have been treated during that period. According to the Classification made by krouse who divides the Inverted Papilloma in four stages, we found 3 in stage I, 6 in stage II and 1 in stage IV. The treatment in almost all of the patients in Stage I and II was endonasal surgery. External approach was performed for stage IV. The recurrence rate was 30% and malignization occurred in 10% of the cases. Finally, we have compared other publications, and revised the literature.
Subject(s)
Papilloma, Inverted/pathology , Papilloma, Inverted/surgery , Paranasal Sinus Neoplasms/pathology , Paranasal Sinus Neoplasms/surgery , Adult , Aged , Disease Progression , Female , Humans , Male , Middle Aged , Neoplasm Staging , Papilloma, Inverted/diagnostic imaging , Paranasal Sinus Neoplasms/diagnostic imaging , Retrospective Studies , Tomography, X-Ray ComputedABSTRACT
El papiloma invertido es una tumoración que afecta principalmente a las cavidades nasosinusales. Clínicamente se caracteriza por su elevado porcentaje de recidivas y la posibilidad de malignización. Presentamos nuestra experiencia de 10 años, a través de un estudio retrospectivo en el cual encontramos 10 pacientes portadores de esta patología. De acuerdo a la clasificación de Krouse, quien divide los Papilomas Invertidos en cuatro estadios, encontramos a tres en Estadio I, seis en Estadio II y uno en Estadio IV. El tratamiento efectuado fue principalmente cirugía endonasal en Estadio I y II y abordaje externo en Estadio IV. La recidiva fue del 30 por ciento y la malignización del 10 por ciento. Finalmente realizamos una comparación con la experiencia acumulada en la literatura revisada. (AU)
Inverted Papilloma is a frequent benign nasosinusal tumour. The high frequency of recurrences and the malignant potential are its clinical characteristics. We present our experience in a retrospective study done in the last 10 years. 10 patients with Inverted Papilloma have been treated during that period. According to the Classification made by krouse who divides the Inverted Papilloma in four stages, we found 3 in stage I, 6 in stage II and 1 in stage IV. The treatment in almost all of the patients in Stage I and II was endonasal surgery. External approach was performed for stage IV. The recurrence rate was 30% and malignization occurred in 10% of the cases. Finally, we have compared other publications, and revised the literature (AU)
