OBJECTIVE: To share the authors' experience of transoral laser microresection in the treatment of @entity957 of the anterior commissure of the larynx. STUDY DESIGN: Retrospective review of 39 @entity1 with @entity957 involving the anterior commissure of the larynx, all managed with transoral laser microresection between September 1996 and December 2001. Twenty-three @entity1 had @entity2558 or pT2 @entity5 . Sixteen @entity1 had @entity1803 or pT4 disease, two with N2b neck metastases. Twenty @entity1 had @entity5 exhibiting spread to the subglottis. Twenty-five @entity1 had received prior treatment(s). METHODS: Specific data points entered into a portable database were retrospectively verified against the @entity1 's electronic medical record. Sorting and analysis were completed in a desktop spreadsheet. We evaluated @entity5 recurrence, cause of @entity204 , tracheostomy, hospital length of stay, and @entity1740 . RESULTS: None of the 17 @entity1 with @entity5 ( @entity2558 or pT2a) had local recurrence, and none received postoperative radiotherapy. Five of the 22 @entity1 with intermediate or advanced disease (pT2b/ @entity1803 or pT4 @entity5 ) required second treatments for persistent or recurrent disease. Of these, two had small residual foci amenable to second-stage resection by laser. One @entity1 developed a prelaryngeal soft tissue recurrence and retained his larynx after wide local excision and radiotherapy. Two @entity1 (both previously irradiated) developed delayed recurrences requiring total laryngectomy. Four retreated @entity1 remained alive without disease. One @entity1 died of other causes. Voice remained no worse after transoral laser microresection in 19 @entity1 . It was one level worse (on a scale of 0 to 5) for 16 @entity1 . Eleven @entity1 received temporary tracheotomies, some for airway, some for exposure. Twelve @entity1 left the hospital on a same-day basis. The average hospital stay was 3.3 days. CONCLUSION: Transoral laser microsurgery is one of the options to be considered for the treatment of @entity1544 involving the anterior commissure of the larynx.

Transoral laser microresection for XXXX of the larynx involving the anterior commissure.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2558 :: ('58492', 'Gene') :: ['pT1'] @entity1803 :: ('7694', 'Gene') :: ['pT3'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'early cancers', 'cancers', 'cancer'] @entity957 :: ('MESH:D002294', 'Disease') :: ['squamous cell carcinoma', 'squamous carcinoma'] @entity1544 :: ('MESH:D018307', 'Disease') :: ['squamous cell cancer'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1740 :: ('MESH:D014832', 'Disease') :: ['voice quality']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
