Surgical options for Glottic Cancers

As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function

Surgical options include:

Type of surgery depends on

  • Tumour factors
    • Site
    • Cartilage invasion
    • Stage
    • Involvement of arytenoid complex
  • Prior therapy
    • Radiation
    • Partial laryngectomy
  • Patient factors
    • Pulmonary status (tolerate aspiration)
    • Cognitive status
  • Institutional support
    • Surgical expertise
    • Availability of CO2 laser / transoral microsurgery
    • Speech and swallowing support
    • Tracheo-oesophageal speaking valves

Index: Clinical Practice Guidelines for Glottic Cancer

Resource Appropriate Glottic Cancer Guideline Scenarios