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March 1989

Definitive Radiotherapy in the Management of Stage I and Stage II Carcinomas of the Glottis

Arch Otolaryngol Head Neck Surg. 1989;115(3):273. doi:10.1001/archotol.1989.01860270015003

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At the 1988 annual meeting of the American Laryngological Association in West Palm Beach, Fla, Dr M. D. Kelly and colleagues, University of Virginia, Charlottesville, presented their results on a study of radiotherapy treatment for stage I and II carcinoma of the glottis. This report included 148 patients treated initially by definitive radiotherapy over a 12-year period. All patients underwent radiotherapy employing megavoltage equipment with a dose range of 6000 to 6600 cGy. At three years, 93.6% of the stage I patients and 75.5% of the stage II patients were free of disease. In the stage I group, surgical salvage consisted of partial laryngectomy in four patients, total laryngectomy in one patient, and radical neck dissection in another patient. In the stage II group, 13 of 14 radiation failures were managed by partial laryngectomy (one patient), total laryngectomy (11 patients), and radical neck dissection (one patient), with a salvage rate

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