Abstract
The aim of the present study is to describe the spread c h a nnels of the anterior commisure cancer, its clinical significance and its surgical implications. Patients and methodsa prospective study was performed at the ENT Department of the Complutense University in about 31 patients with anterior commisure carcinoma wo underwent surgery between 1994/97. Specimens were processed with Whole-Organ Serial Sections. ResultsPatients were differenciated into two groups: 1) Patients with glottic tumors, with a good cord mobility and no invasive tumor in commisure region (18 patients); In these patients, conservative surgery was possible; 2) Another group (13 patients) with agressive lesions (80% with cartilage involvement), vocal cord fixation and transglottic lesions. In these group, conservative surgery was contraindicated. ConclusionsThis report emphasizes the importance of laryngoscopy in surgical technique of anterior commisure c a n c e r.
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