Review of modern treatment of early laryngeal cancer

Abstract

Aim. To review and analyze the basic methods of treating early laryngeal cancer used in clinical practice. Material and Methods. Scientific articles on the subject listed in the international science-computer bases were selected for analysis. The basic indications and contraindications for application of various surgical and non-surgical methods of treatment of early laryngeal cancer were determined. Results and Discussion. The goal of treatment of early laryngeal cancer at the present stage is not only ablastic elimination of the tumor, but also preservation of the organ and its linguistic function. The development of endoscopic and robotic surgical techniques as well as of radiation therapy equipment has greatly expanded the arsenal of procedures for a physician over the last decade. At the same time, the accumulated experience of large medical centers allowed to separate indications for each of the methods. Analysis and systematization of their results will allow changing the existing treatment principles, identifying groups of patients for the optimal surgical or radiotherapy treatment, which will preserve voice and reduce the frequency of relapse. Conclusions. In early laryngeal cancer patients have two main methods of treatment: radiotherapy or surgery. For the final choice, it is necessary to take into account a number of circumstances: the location and prevalence of the process; the duration of treatment; the cost and effectiveness of treatment; the experience and skills of ENT-surgeon.

Keywords

• early larynx cancer, cricoarytenoid unit, cordectomy, laryngectomy, transoral robotic surgery, endoscopic surgery, radiation therapy