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lüll Management of T1-T2 glottic carcinomas Mendenhall WM; Werning JW; Hinerman RW; Amdur RJ; Villaret DBCancer 2004[May]; 100 (9): 1786-92T1-T2 glottic carcinomas may be treated with conservative surgery or radiotherapy. The goals of treatment are cure and laryngeal voice preservation. The aim of the current study was to review the pertinent literature and discuss the optimal management of early-stage laryngeal carcinoma. Literature review indicated that the local control, laryngeal preservation, and survival rates of patients were similar after transoral laser resection, open partial laryngectomy, and radiotherapy. Voice quality depended on the extent of resection for patients undergoing surgery; results for patients undergoing laser resection for limited lesions were comparable to the corresponding results for patients receiving radiotherapy, whereas open partial laryngectomy yielded poorer results. Costs were similar for laser resection and radiotherapy, but open partial laryngectomy was more expensive. Patients with well defined lesions suitable for transoral laser excision with a good functional outcome were treated with either laser or radiotherapy. The remaining patients were optimally treated with radiotherapy. Open partial laryngectomy was reserved for patients with locally recurrent tumors.|Biopsy, Needle[MESH]|Combined Modality Therapy[MESH]|Female[MESH]|Glottis/*pathology[MESH]|Humans[MESH]|Laryngeal Neoplasms/mortality/*pathology/*therapy[MESH]|Laryngectomy/*methods[MESH]|Laser Therapy/methods[MESH]|Male[MESH]|Neoplasm Staging[MESH]|Prognosis[MESH]|Radiotherapy Dosage[MESH]|Radiotherapy, Adjuvant[MESH]|Randomized Controlled Trials as Topic[MESH]|Risk Assessment[MESH]|Survival Analysis[MESH]|Treatment Outcome[MESH] |