2018 CSO General Scientific Program
“A Systematic Review of Laser Microsurgery in Hypopharyngeal Cancer”
Ciaran Lane, Norbert Viallet
Objective: Transoral laser microsurgery (TLM) has been suggested as an alternative treatment modality in hypopharyngeal carcinoma due to benefit of preservation of swallowing function. Our objective was to perform a systematic review to evaluate the survival and oral competence of patients following TLM.
Methods: A comprehensive literature search was performed using PRISMA methodology on PubMed, Medline and EMBASE to identify the studies using transoral laser microsurgery for hypopharyngeal carcinoma.
Results: The search yielded eight studies with significant heterogeneity between studies. These studies included a total of 488 patients. Five-year disease specific survival had a median value of 90% with survival ranging from 75.9% – 95%. Five studies reported quality of life outcomes with a median of 98% achieving oral intake and range of 94% – 100%.
Conclusion: Studies are limited by retrospective cohort design and patient numbers. A systematic review of the literature supports the concept of improved functional outcome with transoral laser microsurgery.
- By the end of the presentation the audience will be able to describe the rate of oral competence in transoral laser microsurgery in hypopharyngeal carcinoma
- By the end of this presentation the audience will be able to evaluate the survival for transoral laser microsurgery in hypopharyngeal carcinoma.
Download Presentation Slides (PDF)
Authors' Contact Details
Corresponding Author: Dr. Ciaran Lane
Senior Author: Dr. Norbert Viallet
The corresponding author of this presentation has not yet consented to having their email address published online.