This is a film showing actual surgery performed
using the trans-oral microlaser technique. (Broadband Connection Required)
The case depicted is of a patient with a T1 cancer of the vocal
cord. The same technique can be used for resection of tumors in
the supra-glottic larynx, the hypopharynx and the oro-phraynx,
including masses larger than the one shown here.
When tumor size suggests that lymph node dissection of the neck
is appropriate, this can be performed as a staged procedure several
weeks after primary tumor resection. By waiting this period, the
surgeon can feel more certain that spread to the nodes from the
now-resected primary tumor is complete, increasing the chance
that the neck resection will be curative.
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