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December 1989

Videostroboscopy in the Assessment of Early Glottic Carcinoma

Author Affiliations

Orange, Calif

Arch Otolaryngol Head Neck Surg. 1989;115(12):1415. doi:10.1001/archotol.1989.01860360017005

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At the recent American Laryngological Association meeting in San Francisco, Calif, Dr Roy Sessions of the Sloan-Kettering Memorial Cancer Institute, New York, NY, discussed the value of laryngeal videostroboscopy in patients with early glottic cancer. In his report, 18 patients with T1 glottic tumors and 7 patients with T2 glottic lesions underwent fiberoptic laryngoscopy with videostroboscopic examination. All were thought to have normal cord mobility. All of these patients had abnormal stroboscopic findings consisting of absent mucosal waves. In contrast, none of 29 patients with benign glottic lesions showed the abnormal cord stiffness demonstrated by the patients with tumor.

Sessions felt that, after vocal cord stripping and/or radiation therapy of early cancer, the strobe examination may detect recurrent disease earlier than routine follow-up examination. The technique holds promise for following up tumor response during radiotherapy for T1 lesions. According to Sessions, videostroboscopy should be considered for all glottic cancers due

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