caa a22 4500 60618273X CHVBK 20210128100817.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00405-014-3236-7 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3236-7 Multicentric evaluation of strategies for treatment of T1a glottic carcinomas [Elektronische Daten] [Nicolas Fakhry, Sébastien Vergez, Karine Baumstarck, Aude Lagier, Laure Santini, Patrick Dessi, Emmanuel Babin, Antoine Giovanni] The aim of this study was to evaluate the practices of ENT surgeons for the management of early glottic cancers affecting only one vocal cord, i.e. classified T1a. A questionnaire was sent to different surgeons managing cancers of the larynx in France, Belgium and Switzerland. A descriptive and comparative analysis of practices across centers was performed. The decision-making parameters of the therapeutic strategy were analyzed. Sixty-nine surgeons completed the questionnaire (58 in France, 10 in Belgium and one in Switzerland). In the example of a 50-year-old man with active tobacco use and no oncologic history presenting a squamous cell carcinoma of the middle third of the vocal cord classified T1aN0M0, and with easy glottic exposition by laryngoscopy, 91% of surgeons proposed endoscopic surgery laser, 2% radiotherapy and 7% proposed one of these two treatments without any preference. Therapeutic strategies were not influenced by the sex (p=1.00), the smoking status (p=0.58) or the age of the patient (more or less than 80years, p=0.27). A significant change was observed in the therapeutic strategy for tumors non-exposable by laryngoscopy (p=0.032), tumors reaching the anterior commissure (p=0.001) and patients using their voice professionally (p=0.0003). The management strategy of T1a glottic carcinomas, in our series, is mainly surgical. The choice of therapeutic strategy seems to be based, in our series, on criteria such as the risk of a second location, cost, and duration of treatment. Springer-Verlag Berlin Heidelberg, 2014 Cancer nationallicence Larynx nationallicence Head and neck nationallicence Endoscopic surgery nationallicence Radiotherapy nationallicence Fakhry Nicolas Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut Vergez Sébastien Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire Rangueil-Larrey, 24 chemin de Pouvourville, 31059, Toulouse Cedex 09, France aut Baumstarck Karine Unité d'Aide Méthodologique à la Recherche Clinique, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut Lagier Aude Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut Santini Laure Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut Dessi Patrick Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut Babin Emmanuel Service d'ORL et Chirurgie Cervico-Faciale, CHU Côte de Nacre, avenue de la Côte de Nacre, 14033, Caen Cedex 9, France aut Giovanni Antoine Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 143-148 0937-4477 272:1<143 2015 272 405 https://doi.org/10.1007/s00405-014-3236-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3236-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fakhry Nicolas Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 700 1- Vergez Sébastien Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire Rangueil-Larrey, 24 chemin de Pouvourville, 31059, Toulouse Cedex 09, France aut NATIONALLICENCE 700 1- Baumstarck Karine Unité d'Aide Méthodologique à la Recherche Clinique, Assistance Publique-Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 700 1- Lagier Aude Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 700 1- Santini Laure Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 700 1- Dessi Patrick Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 700 1- Babin Emmanuel Service d'ORL et Chirurgie Cervico-Faciale, CHU Côte de Nacre, avenue de la Côte de Nacre, 14033, Caen Cedex 9, France aut NATIONALLICENCE 700 1- Giovanni Antoine Service d'ORL et Chirurgie Cervico-Faciale, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille Univ, Centre Hospitalier Universitaire la Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 143-148 0937-4477 272:1<143 2015 272 405