Evolution of the management of laryngeal cancer

Eric M. Genden, Alfio Ferlito, Carl E. Silver, Adam S. Jacobson, Jochen A. Werner, Carlos Suárez, C. René Leemans, Patrick J. Bradley, Alessandra Rinaldo

Research output: Contribution to journalReview articleAcademicpeer-review

85 Citations (Scopus)

Abstract

The treatment of laryngeal cancer has evolved through several phases, starting with wide extirpative surgical resection, and evolving through an era of conservation surgery and, finally, planned treatment using modalities of irradiation, chemotherapy and surgery in various combinations. Attempts to extirpate laryngeal cancer date to the nineteenth century, but only by the mid-twentieth century did advances in anesthesia, blood transfusion and antibiotics, make this surgery safe and reliable. Techniques of partial laryngectomy by external approach developed in the second half of the twentieth century, and endoscopic use of the laser refined the concept and provided a new paradigm for surgical treatment, particularly for early lesions. During most of this era, radiation was employed as an alternative method of treatment, with surgery reserved for salvage of radiation failure. By the last decade of the twentieth century, and to the present time, the value of combined modality therapy, using planned combinations of irradiation, chemotherapy and surgery became the standard of care for advanced laryngeal cancer, permitting maximal laryngeal preservation with the highest attainable cure rates.

Original languageEnglish
Pages (from-to)431-439
Number of pages9
JournalOral Oncology
Volume43
Issue number5
DOIs
Publication statusPublished - May 2007

Keywords

  • Combined therapy
  • Laryngeal cancer
  • Neck dissection
  • Partial laryngectomy
  • Total laryngectomy

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