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January 1989

Laser Surgery for Vocal Cord Carcinoma Involving the Anterior Commissure

Author Affiliations

Chapel Hill, NC

Arch Otolaryngol Head Neck Surg. 1989;115(1):16. doi:10.1001/archotol.1989.01860250018015

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At the American Laryngological Association meeting as part of the Combined Spring Otolaryngology meeting in Palm Beach, Fla, April 1988, Yosef P. Krespi, MD, and Charles J. Meltzer, MD, State University of New York Health Sciences Center at Brooklyn, reported on the use of laser surgery in the treatment of lesions in the anterior commissure. They described five patients with stage I vocal cord tumors involving the anterior commissure who were treated between 1984 and 1986. All patients were male, ranging in age from 62 to 90 years. All patients were treated with a carbon dioxide laser using repeated and continuous modes between 10 and 14 W. In every case, the patients were followed up for a period that was disease free, following which the tumor recurred.

The authors concluded that carcinoma of the anterior commissure cannot be effectively managed with laser therapy because of the proximity of the anterior

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