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Head and Neck Section, September 18th Plenary Session. The session was opened by Hans Eckel, MD, Cologne, Germany, who described 46 patients who had undergone transoral laser resection of supraglottic carcinomas. In these patients with T1 and T2 lesions, five patients underwent chronic aspiration and required completion laryngectomy, and six others required tracheotomies. Overall 5-year survival was 72%; with locoregional control, including salvage surgery, overall 5-year survival was as high as 90%.
Aijaz Alvi, MD, Pittsburgh, Pa, discussed occult nodes in patients with necks graded NO. In a group of 109 patients, 34% had occult nodes, and half of these individuals had extracapsular spread. Surgery and x-ray therapy appeared inadequate in dealing with patients with extracapsular spread. Perhaps chemotherapy will offer help to these patients.
Kaplan-Feinstein scale rating, American Society of
Hoffer M. 1995 Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 1996;122(2):202–203. doi:10.1001/archotol.1996.01890140086018
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