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

doi:10.1002/hed.24773

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

Onderzoeksoutput › Academic › peer review

28 Citaten (Scopus)

Samenvatting

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.

Originele taal-2	English
Pagina's (van-tot)	1343-1348
Aantal pagina's	6
Tijdschrift	Head and Neck: Journal of the Sciences and Specialties of the Head and Neck
Volume	39
Nummer van het tijdschrift	7
Vroegere onlinedatum	29-mrt.-2017
DOI's	https://doi.org/10.1002/hed.24773
Status	Published - jul.-2017

Toegang tot document

10.1002/hed.24773

Handle.net

Permanente koppeling

Document onder embargo

Narrow-band imaging in transoral laser surgery forearly glottic cancer in relation to clinical outcome
Final publisher's version, 258 KB

1 Professional or public presentation
1 Academic presentation

Clues for Optimal Use of Narrow Band Imaging in Endoscopic Evaluation of the Larynx and Pharynx: Can We Improve Daily Patient Care?
Plaat, B. (Speaker)
10-okt.-2018
Activiteit: Professional or public presentation › Professional
Narrow band imaging in laryngeal cancer: is it worthwhile?
Plaat, B. (Invited speaker)
28-jan.-2018
Activiteit: Academic presentation › Academic

Citeer dit

@article{f6e6817e24d542d0b461ec0f0345c36d,

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

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.",

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",

author = "Plaat, {Boudewijn E C} and Zwakenberg, {Manon A.} and {van Zwol}, {Joost G} and Jan Wedman and {van der Laan}, {Bernard F A M} and Halmos, {Gy{\"o}rgy B.} and Dikkers, {Frederik G}",

note = "{\textcopyright} 2017 Wiley Periodicals, Inc.",

year = "2017",

month = jul,

doi = "10.1002/hed.24773",

language = "English",

volume = "39",

pages = "1343--1348",

journal = "Head and Neck: Journal of the Sciences and Specialties of the Head and Neck",

issn = "1043-3074",

publisher = "Wiley",

number = "7",

}

TY - JOUR

T1 - Narrow-band imaging in transoral laser surgery for early glottic cancer in relation to clinical outcome

AU - Plaat, Boudewijn E C

AU - Zwakenberg, Manon A.

AU - van Zwol, Joost G

AU - Wedman, Jan

AU - van der Laan, Bernard F A M

AU - Halmos, György B.

AU - Dikkers, Frederik G

PY - 2017/7

Y1 - 2017/7

N2 - 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.

AB - 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.

KW - laryngeal cancer

KW - narrow-band imaging (NBI)

KW - transoral laser surgery

KW - SQUAMOUS-CELL CARCINOMA

KW - EUROPEAN LARYNGOLOGICAL SOCIETY

KW - HIGH-DEFINITION TELEVISION

KW - RESECTION MARGINS

KW - NECK-CANCER

KW - NASOPHARYNGEAL CARCINOMA

KW - LARYNGEAL-CANCER

KW - MICROSURGERY

KW - ENDOSCOPY

KW - HEAD

U2 - 10.1002/hed.24773

DO - 10.1002/hed.24773

M3 - Article

C2 - 28370672

SN - 1043-3074

VL - 39

SP - 1343

EP - 1348

JO - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck

JF - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck

IS - 7

ER -

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

Samenvatting

Toegang tot document

Handle.net

Document onder embargo

Vingerafdruk

Activiteiten

Clues for Optimal Use of Narrow Band Imaging in Endoscopic Evaluation of the Larynx and Pharynx: Can We Improve Daily Patient Care?

Narrow band imaging in laryngeal cancer: is it worthwhile?

Citeer dit