Does airway intervention before primary nonsurgical therapy for T3/T4 laryngeal squamous cell carcinoma impact on oncological or functional outcomes?

René Schariatzadeh*, Thomas F. Pézier, Gabriela Studer, Stephan Schmid, Gerhard F. Huber

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

QUESTIONS UNDER STUDY: Even today, some patients with laryngeal cancer present with airway obstruction necessitating an intervention in the form of either a tracheostomy or transoral laser debulking (TOL). Controversy exists as to whether such an intervention is a risk factor for poor oncological or functional outcome in patients who then undergo primary (chemo)radiotherapy. METHODS: Retrospective chart review of all patients undergoing primary curative nonsurgical treatment for T3/T4 laryngeal squamous cell cancer at the University Hospital Zurich between 1981 and 2011. RESULTS: A total of 29/114 patients had an airway intervention before initiation of (chemo)radiotherapy (21/29 tracheostomies, 8/29 TOL). Kaplan-Meier analysis showed no statistical difference in oncological outcomes between the groups with and without intervention (5 year overall survival: 52% vs 70%, disease specific survival: 73% vs 79%, recurrence free survival: 53% vs 63%). In functional terms, we report an overall functional larynx rate of 60%. CONCLUSIONS: Airway intervention was not found to be a risk factor for poor oncological or functional outcome in this patient group.

Original languageEnglish
Article numberw14213
JournalSwiss Medical Weekly
Volume145
DOIs
Publication statusPublished - 2015

Keywords

  • Chemoradiotherapy
  • Laryngeal cancer
  • Radiotherapy
  • Squamous cell cancer
  • Tracheostomy
  • Transoral debulking

Fingerprint

Dive into the research topics of 'Does airway intervention before primary nonsurgical therapy for T3/T4 laryngeal squamous cell carcinoma impact on oncological or functional outcomes?'. Together they form a unique fingerprint.

Cite this