Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy: a European Laryngological Society consensus statement
Purpose To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery ($ CO_{2} $ TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT]. Methods Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage $ CO_{2} $ TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process. Results The expert panel reached full consensus on 19 statements through a total of three sequential evaluation rounds. These statements were focused on different aspects of salvage $ CO_{2} $ TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up. Conclusion Management of recurrent LSCC after (C)RT is challenging and is based on the need to find a balance between oncologic and functional outcomes. Salvage $ CO_{2} $ TOLMS is a minimally invasive approach that can be applied to selected patients with strict and careful indications. Herein, a series of statements based on an ELS expert consensus aimed at guiding the main aspects of $ CO_{2} $ TOLMS for LSCC in the salvage setting is presented..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:278 |
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| Enthalten in: |
European archives of oto-rhino-laryngology and head & neck - 278(2021), 11 vom: 05. Juli, Seite 4373-4381 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Piazza, Cesare [VerfasserIn] |
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| Links: |
Volltext [kostenfrei] |
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| BKL: | |
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| Themen: |
Carbon dioxide laser |
| Anmerkungen: |
© The Author(s) 2021 |
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| doi: |
10.1007/s00405-021-06957-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
SPR045199647 |
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| 520 | |a Purpose To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery ($ CO_{2} $ TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT]. Methods Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage $ CO_{2} $ TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process. Results The expert panel reached full consensus on 19 statements through a total of three sequential evaluation rounds. These statements were focused on different aspects of salvage $ CO_{2} $ TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up. Conclusion Management of recurrent LSCC after (C)RT is challenging and is based on the need to find a balance between oncologic and functional outcomes. Salvage $ CO_{2} $ TOLMS is a minimally invasive approach that can be applied to selected patients with strict and careful indications. Herein, a series of statements based on an ELS expert consensus aimed at guiding the main aspects of $ CO_{2} $ TOLMS for LSCC in the salvage setting is presented. | ||
| 650 | 4 | |a Carbon dioxide laser |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Transoral laser microsurgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Laryngeal cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Radiotherapy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Chemoradiation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Salvage surgery |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Sjogren, Elisabeth V. |e verfasserin |4 aut | |
| 700 | 1 | |a Bradley, Patrick J. |e verfasserin |4 aut | |
| 700 | 1 | |a Eckel, Hans E. |e verfasserin |4 aut | |
| 700 | 1 | |a Mäkitie, Antti |e verfasserin |4 aut | |
| 700 | 1 | |a Matar, Nayla |e verfasserin |4 aut | |
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| 700 | 1 | |a Peretti, Giorgio |e verfasserin |4 aut | |
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| 700 | 1 | |a Vilaseca, Isabel |e verfasserin |4 aut | |
| 700 | 1 | |a Simo, Ricard |e verfasserin |4 aut | |
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