Laser Surgery For The Management Of Ent Malignancies: A Controversial Issue (oto-rhino-laryngologia Nova)

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Open-neck organ preservation surgery in the treatment of ENT malignancies is based on the knowledge of the biological aspects of tumor growth and spread. The indications, contraindications, and modalities of treatments are precisely described. Regarding the use of endoscopic lasers, some experts claim that better results are achieved, and make it obsolete to respect the classical margins of tumor resection. Others see the use of lasers instead of conventional blades as a mere matter of fashion. In this issue, experts are discussing the relevance of endoscopic lasers in organ preservation surgery in the treatment of ENT malignancies, its implications in terms of safety, advantages for the patient and convenience for the surgeon. Further, the consequences of laser burns on the histological examination of the resected tissue are compared to those of standard procedures.

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Laser Surgery for the Management of ENT Malignancies A Controversial Issue 19 figures, 8 in color, 9 tables, 2003 Basel 폷 Freiburg 폷 Paris 폷 London 폷 New York 폷 Bangalore 폷 Bangkok 폷 Singapore 폷 Tokyo 폷 Sydney S. Karger Medical and Scientific Publishers Basel 폷 Freiburg 폷 Paris 폷 London New York 폷 Bangalore 폷 Bangkok Singapore 폷 Tokyo 폷 Sydney Fax + 41 61 306 12 34 E-Mail [email protected] www.karger.com Drug Dosage The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center (see ‘General Information’). © Copyright 2003 by S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland) Printed in Switzerland on acid-free paper by Reinhardt Druck, Basel ISBN 3–8055–7570–X Vol. 12, No. 1, 2002–03 Contents Editorial 5 Surgical Application of New Technologies: An Unruly Scientific Process Guyot, J.-P. (Genève) 6 Growth Pattern of T3 and T4 Piriform Sinus Carcinomas: Implications for Microendoscopic Laser Surgery Zbären, P.; Stauffer, E. (Bern) Comments p. 14 16 Accuracy of Histological Examination following Endoscopic CO2 Laser-Assisted Laryngectomy Remacle, M.; Delos, M.; Lawson, G.; Jamart, J. (Yvoir) Comments p. 20 21 Current Status of Endoscopic Laser Surgery in Head and Neck Surgical Oncology Eckel, H.E. (Cologne) Comments p. 31 33 Endoscopic Excision with CO2 Laser for the Treatment of Glottic Carcinomas Chevalier, D.; Fayoux, P.; François, J. (Lille) Comments p. 35 36 Laser Surgery for T2 Glottic Carcinoma Werner, J.A.; Dünne, A.A.; Folz, B.J.; Lippert, B.M. (Marburg) Comments p. 40 42 Risk of Late Fatal Secondary Hemorrhage in Laser Surgery of the Larynx Kremer, B.; Rinkel, R.N.P.M. (Maastricht); Eckel, H.E. (Cologne); Schlöndorff, G. (Aachen) Comments p. 45 46 Congress Calendar • Calendrier des congrès • Kongresskalender