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Endolaryngeal extirpation of vocal cord cancers is a controversial issue over many decades. Transoral excision of vocal cord cancer was
reported by: Lynch (1920), New & Dorton (1941), Mc Cabe & Magielski (1960), Kleinsasser (1968), Littlie & DeSanto (1973) and Le
Jeune (1977). CO2 laser excision of vocal cord cancer was described by Jako et al (1978):in the form of excisonal biopsy of suspected lesions
and excision of rec. VC cancer after radiation. Vaughan et al (1978) mentioned 4 indications for CO2 laser surgery in laryngeal cancer:
Diagnostic: bulky & post irradiation recurrence
Debulking: reduction of tumour mass
Airway re-establishment: Avoid tracheotomy
Therapeutic: CO2 laser Cordectomy
In this presentation the different types of laser cordectomy including superficial, partial, total and extended cordectomy will be
illustrated with the indication of each type (Steiner). Also the European Laryngological Society Classification of laser cordectomy will be
demonstrated (Remacle). The basic requirements, limiting parameters and surgical strategy including patient and tumor selection will be
evaluated through my personal experience in the last 20 year.
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