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September 1989

Clinical Observation Regarding Laser Surgery for Early Glottic Cancer

Author Affiliations

Miami, Fla

Arch Otolaryngol Head Neck Surg. 1989;115(9):1134. doi:10.1001/archotol.1989.01860330124035

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To the Editor.—A patient, who was recently treated by us, has had a rather disturbing and puzzling course. Because he was found to have an early well-localized glottic cancer, he was treated with the carbon dioxide laser as the treatment of choice. As there is great interest in this method of treatment, I wish to call it to the attention of our readers for their interest, comments, and, in the hope that if there are similar cases, that they may be called to our attention promptly.

Report of a Case.—A 51-year-old man was found on April 6, 1987, to have a superficial lesion on the midpoint of the right membranous vocal cord. The cord was stripped at direct microscopic laryngoscopy under general anesthesia, with the resultant pathologic diagnosis of carcinoma in situ. Endoscopic surgery was advised. Five weeks later, under general anesthesia, the right vocal cord, which was somewhat

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