Background: Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited.
Methods: A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (≥70 years old, mean 76 years) treated with TLM was made. A systematic review of the literature was performed.
Results: Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review indicated that TLM is safe and effective treatment for these patients, with few complications and good local control (>85%) and DSS (>90%) rates.
Conclusions: Our results and the information from the literature show that TLM for glottic cancer in elderly patients can lead to satisfactory treatment results.
Keywords: complications; elderly; laryngeal cancer; transoral laser microsurgery.
© 2019 Wiley Periodicals, Inc.