LARYNGOFISSURE AND CORDECTOMY FOR GLOTTIC CARCINOMA LIMITED TO THE MID 3RD OF THE MOBILE TRUE VOCAL CORD

The objective of this study was to analyze the long term results of la ryngofissure with cordectomy for invasive glottic squamous cell carcin oma limited to the mid third of the mobile true vocal cord. The author s conducted a retrospective review of the medical charts and operative files of 33 patients with invasive glottic carcinoma limited to the m id third of the mobile true vocal cord managed with laryngofissure and cordectomy, A 10-year follow-up was achieved in 30 patients (90.9%). Kaplan-Meier actuarial analysis of survival, local control, nodal recu rrence, distant metastasis, and second primary metachronous tumor was performed. The 5-year actuarial survival, local control, nodal recurre nce, and distant metastasis estimates were 97%, 100%, 0%, and 0%, resp ectively. Tracheotomy was never performed, The overall laryngeal prese rvation rate was 100%, The 5- and 10-year actuarial metachronous secon d primary tumor estimates were 3% and 11.5%, respectively, The authors ' experience suggested that laryngofissure and cordectomy should still be considered a valuable oncologic option for the management of invas ive glottic carcinoma limited to the mid third of the mobile true voca l cord.