Organ preservation by transoral laser microsurgery in early and advanced larynx carcinoma
| Componente | Categoria |
|---|---|
| Francesca Yoshie Russo | Componenti il gruppo di ricerca / Participants in the research project |
| Rosaria Turchetta | Componenti il gruppo di ricerca / Participants in the research project |
| Giuseppe Magliulo | Componenti il gruppo di ricerca / Participants in the research project |
| Andrea Gallo | Componenti il gruppo di ricerca / Participants in the research project |
| Antonella Polimeni | Componenti il gruppo di ricerca / Participants in the research project |
| Patrizia Mancini | Componenti il gruppo di ricerca / Participants in the research project |
| Angela Musacchio | Componenti il gruppo di ricerca / Participants in the research project |
Transoral laser microsurgery (TOLMS) is an emerging technique for the management of laryngeal and other head and neck malignancies. It is increasingly being used in place of traditional open surgery because of lower morbidity and improved organ preservation. Since the surgery is performed from the inside working outward as opposed to working from the outside in, there is less damage to the supporting structures that lie external to the tumor. Coupling the laser to a micromanipulator and a microscope allows precise tissue cutting and hemostasis; thereby improving visualization and precise ablation. In recent years, CO2 TOLMS has received a great consensus, as the use of CO2 TOLMS as a primary treatment is more cost-effective than open partial laryngectomy or radiotherapy and it is usually performed as a day-case procedure. The use of TOLMS has considerably improved the performance of ENT microsurgery. Today CO2 laser is universally recognized as the gold standard for mininvasive head and neck applications.