| ORIGINAL ARTICLE |
|
| Year : 2016 | Volume
: 4
| Issue : 2 | Page : 69-74 |
|
|
Transoral micro-endoscopic KTP-532 Laser-assisted excision of hypopharyngeal cancers: Our experience
Dipak Ranjan Nayak, Suraj Nair, Ramaswamy Balakrishnan, Apoorva Reddy
Department of ENT-Head and Neck Surgery, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India
Correspondence Address:
Dipak Ranjan Nayak
Department of ENT-Head and Neck Surgery, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2347-8128.196228
|
|
|
Aim: To evaluate the overall and disease specific survival rate in patients with hypopharyngeal cancers treated with KTP - 532 LASER. Materials and Methods: We present a retrospective observational study conducted between January 2000 and December 2012 on a total of 28 patients of biopsy-proven cases of squamous cell carcinoma of hypopharynx in Stages I-IV including eight radio-residual cases who underwent trans-oral micro-endoscopic KTP-532 laser-assisted excision of the primary lesion. All patients with clinically and radiologically positive N status underwent modified neck dissection within 10 days. Average follow-up period was 15 months. All the cases received adjuvant radiotherapy except for the radio-residual ones which were managed with salvage surgery alone. Observation and Results: 25/ 28 patients had no disease on their last follow-up with 3 locoregional recurrences. Nineteen patients were followed up for 2 years or more and we found two loco-regional recurrences within 2 years. Overall survival rate was found to be 89.2% and 2-year specific disease-free survival rate 89.4% as calculated using Kaplan-Meier scale. Conclusion: This study evaluates the efficacy and survival rate of patients who underwent trans-oral micro-endoscopic KTP-532 laser-assisted excision for hypopharyngealcancers in various stages as an alternative to conventional open surgeries. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
![JOURNAL_FULL_NAME]](images/logo.gif){kind=logo}
