6.5.11: 11. Surgical Options for Glottic Cancer
- Page ID
- 18347
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As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function
Surgical options include:
- Transoral endoscopic microsurgery (cold steel)
- Transoral microscopic CO2 laser surgery
- Laryngofissure cordectomy
- Vertical partial laryngectomy (Hemilaryngectomy)
- Supracricoid laryngectomy
- Near total laryngectomy
- Total laryngectomy
Type of surgery depends on
- Tumour factors
- Site
- Cartilage invasion
- Stage
- Involvement of arytenoid complex
- Prior therapy
- Radiation
- Partial laryngectomy
- Patient factors
- Pulmonary status (tolerate aspiration)
- Cognitive status
- Institutional support
- Surgical expertise
- Availability of CO2 laser / transoral microsurgery
- Speech and swallowing support
- Tracheo-oesophageal speaking valves