Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy: a European Laryngological Society consensus statement
Por:
Piazza, C, Paderno, A, Sjogren, EV, Bradley, PJ, Eckel, HE, Makitie, A, Matar, N, Paleri, V, Peretti, G, Puxeddu, R, Quer, M, Remacle, M, Vander Poorten, V, Vilaseca, I, Simo, R
Publicada:
1 nov 2021
Ahead of Print:
1 jul 2021
Resumen:
Purpose To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery (CO2 TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT].
Methods Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage CO2 TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process.
Results The expert panel reached full consensus on 19 statements through a total of three sequential evaluation rounds. These statements were focused on different aspects of salvage CO2 TOLMS, with particular attention on preoperative diagnostic work-up, treatment indications, postoperative management, complications, functional outcomes, and follow-up.
Conclusion Management of recurrent LSCC after (C)RT is challenging and is based on the need to find a balance between oncologic and functional outcomes. Salvage CO2 TOLMS is a minimally invasive approach that can be applied to selected patients with strict and careful indications. Herein, a series of statements based on an ELS expert consensus aimed at guiding the main aspects of CO2 TOLMS for LSCC in the salvage setting is presented.
Filiaciones:
Piazza, C:
Univ Brescia, Dept Otorhinolaryngol Head & Neck Surg, ASST Spedali Civili Brescia, Piazza Spedali Civili 1, I-25123 Brescia, Italy
Univ Brescia, Dept Med Surg & Radiol Sci & Publ Hlth, Brescia, Italy
Paderno, A:
Univ Brescia, Dept Otorhinolaryngol Head & Neck Surg, ASST Spedali Civili Brescia, Piazza Spedali Civili 1, I-25123 Brescia, Italy
Univ Brescia, Dept Med Surg & Radiol Sci & Publ Hlth, Brescia, Italy
Sjogren, EV:
Leiden Univ, Dept Otolaryngol Head & Neck Surg, Med Ctr, Leiden, Netherlands
Bradley, PJ:
Nottingham Univ Hosp, Dept ORL HNS, Queens Med Ctr Campus,Derby Rd, Nottingham, England
Eckel, HE:
Klagenfurt Gen Hosp, Dept Otorhinolaryngol Head & Neck Surg, Klagenfurt, Austria
Makitie, A:
Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland
HUS Helsinki Univ Hosp, Helsinki, Finland
Matar, N:
St Joseph Univ, Dept Otolaryngol Head & Neck Surg, Hotel Dieu France Hosp, Beirut, Lebanon
Paleri, V:
Royal Marsden NHS Fdn Trust, Head & Neck Unit, London, England
Peretti, G:
Univ Genoa, Dept Otorhinolaryngol Head & Neck Surg, IRCCS Osped Policlin San Martino, Genoa, Italy
Puxeddu, R:
Azenda Osped Univ, Unit Otorhinolaryngol Head & Neck Surg, Presidio Osped Duilio Casula, Cagliari, Italy
Quer, M:
Univ Autonoma Barcelona, Dept Otolaryngol Head & Neck Surg, Univ Hosp Santa Creu & St Pau, Barcelona, Spain
Remacle, M:
Ctr Hosp Luxembourg, Dept Otolaryngol, Luxembourg, Luxembourg
Vander Poorten, V:
Univ Hosp Leuven, Leuven Canc Inst, Dept Otorhinolaryngol Head & Neck Surg, Leuven, Belgium
Katholieke Univ Leuven, Sect Head & Neck Oncol, Dept Oncol, Leuven, Belgium
Vilaseca, I:
Univ Barcelona, Hosp Clin Barcelona, Otorhinolaryngol Serv, Barcelona, Spain
Simo, R:
Guys & St Thomas Hosp NHS Fdn Trust, Head Neck & Thyroid Canc Unit, Dept Otorhinolaryngol Head & Neck Surg, London, England
Green Published, hybrid
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