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.

Learning Objectives

  • 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.

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Scheduling Details

This 7 minute presentation is scheduled to take place on June 3, 2019 at 13:45 in the Hall C.

Authors' Contact Details

Corresponding Author: Dr. Ciaran Lane

Senior Author: Dr. Norbert Viallet

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