Narrow-band imaging in transoral laser surgery for early glottic cancer in relation to clinical outcome

Boudewijn E C Plaat, Manon A. Zwakenberg, Joost G van Zwol, Jan Wedman, Bernard F A M van der Laan, György B. Halmos, Frederik G Dikkers

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21 Citations (Scopus)

Abstract

BACKGROUND: The purpose of this study was to validate the prognostic value of adding narrow-band imaging (NBI) during transoral laser surgery (TLS) for early glottic cancer.

METHODS: In 84 patients, 93 transoral laser resections were performed for carcinoma in situ (Tcis), T1, or T2 glottic cancer. TLS was preceded by intraoperative evaluation using traditional white-light imaging (WLI) in 51 cases. In 42 cases, NBI was used in addition to WLI. Local recurrence rate and recurrence-free survival were retrospectively compared between both groups.

RESULTS: Local recurrences developed in 14% of the 93 cases: 12 of 51 patients (24%) were treated by TLS based on WLI alone, and in 1 of 42 patients (2%) in the NBI group (P < .01). Two-year recurrence-free survival was 82% in the WLI group and 98% in the NBI group (P < .05).

CONCLUSION: Additional use of NBI during TLS for early glottic cancer significantly improves clinical outcome.

Original languageEnglish
Pages (from-to)1343-1348
Number of pages6
JournalJournal of the Sciences and Specialties of the Head and Neck
Volume39
Issue number7
Early online date29-Mar-2017
DOIs
Publication statusPublished - Jul-2017

Keywords

  • laryngeal cancer
  • narrow-band imaging (NBI)
  • transoral laser surgery
  • SQUAMOUS-CELL CARCINOMA
  • EUROPEAN LARYNGOLOGICAL SOCIETY
  • HIGH-DEFINITION TELEVISION
  • RESECTION MARGINS
  • NECK-CANCER
  • NASOPHARYNGEAL CARCINOMA
  • LARYNGEAL-CANCER
  • MICROSURGERY
  • ENDOSCOPY
  • HEAD

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