Fiche publication


Date publication

avril 2013

Auteurs

Membres identifiés du Cancéropôle Est :
Pr DOLIVET Gilles , Pr MARCHAL Frédéric , Dr CORTESE Sophie , Dr MASTRONICOLA Romina


Tous les auteurs :
Perrot C, Cortese S, Eluecque H, Mastronicola R, Sergeant C, Marchal F, Demet S, Dolivet G

Résumé

OBJECTIVE: The purpose of this article is to illustrate the use of radiofrequency and laser ablation in head and neck oncology and to describe the management of a case of laryngeal chondrosarcoma in a 90-year-old patient. CASE REPORT: A 90-year-old man, WHO performance status 3, with low-grade laryngeal chondrosarcoma was seen in the outpatients department at the end of 2008 for assessment of dysphonia. Total laryngectomy was considered to be too invasive and was consequently excluded. The patient was initially tracheotomized under local anaesthesia to relieve dyspnoea and was subsequently managed symptomatically by radiofrequency and laser ablation to ensure laryngeal disobstruction, allowing the patient to be extubated followed by speech therapy and oral feeding rehabilitation. DISCUSSION/CONCLUSION: This patient received symptomatic palliative treatment with a combination of radiofrequency and laser. Radiofrequency ablation can be applied in head and neck oncology as an alternative treatment to surgery allowing improvement of quality of life and survival.

Référence

Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Apr;130(2):91-3