January 1990

The Role of Hemilaryngectomy in the Management of T1 Vocal Cord Cancer

Author Affiliations

Gainesville, Fla

Arch Otolaryngol Head Neck Surg. 1990;116(1):107-108. doi:10.1001/archotol.1990.01870010111028

To the Editor.—Rothfield et al1 recently published a report on a series of 54 patients with T1 squamous cell carcinoma of the true vocal cord treated with hemilaryngectomy; 43 of 54 patients were operated on for de novo lesions. The authors are to be commended for their excellent treatment results. However, they make several observations with which I take issue:

  1. The authors categorically state that hemilaryngectomy offers better cure rates than external-beam irradiation. They reported local control with hemilaryngectomy in 42 (98%) of 43 patients with de novo lesions; included were 3 patients who died of intercurrent disease. In a study of a series of patients with T1 vocal cord cancers recently published by the University of Florida (Gainesville), local control with irradiation was achieved in 144 (93%) of 155 patients suitable for a conservative laryngeal procedure.2 Eleven patients who died of intercurrent disease with the primary

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