Background and Objectives Transoral laser microsurgery (TLM) is a universally recognized safe and minimally invasive approach for early glottic cancer. Narrow band imaging (NBI) is an optical technique working with a filtered light that reveals superficial mucosal abnormalities through the neoangiogenic pattern. The aim of this systematic review is to demonstrate the role of intraoperative NBI during TLM for early glottic cancer to better evaluate tumor extension and for more precise margin resection. Study Design/Materials and Methods A systematic review of the literature following the PRISMA guidelines was performed. A literature search was performed using the following keywords: TLM, NBI, and early glottic cancer. Two independent authors evaluated the extracted data. Data regarding status of surgical margins after TLM, local recurrence, recurrence-free survival, and need of additional samples following NBI were collected. Results Five articles met inclusion criteria with a total of 577 patients undergoing TLM with intraoperative NBI. A significant reduction of positive superficial margins was found in patients treated with (52%) and without (28.6%) intraoperative use of NBI (P < 0.05) Conclusions Routine use of intraoperative NBI increases the accuracy of neoplastic superficial spreading evaluation and accuracy of mass resection during TLM for early glottic cancer. The significant reduction of superficial positive margins dramatically decreases the number of patients at risk and improves clinical outcomes. Lasers Surg. Med. (c) 2019 Wiley Periodicals, Inc.

The prognostic value of adding narrow-band imaging in transoral laser microsurgery for early glottic cancer: a review / Campo, Flaminia; D'Aguanno, Vittorio; Greco, Antonio; Ralli, Massimo; de Vincentiis, Marco. - In: LASERS IN SURGERY AND MEDICINE. - ISSN 0196-8092. - 52:4(2019), pp. 301-306. [10.1002/lsm.23142]

The prognostic value of adding narrow-band imaging in transoral laser microsurgery for early glottic cancer: a review

Campo, Flaminia
Primo
;
D'Aguanno, Vittorio
Secondo
;
Greco, Antonio;Ralli, Massimo
Penultimo
;
de Vincentiis, Marco
Ultimo
2019

Abstract

Background and Objectives Transoral laser microsurgery (TLM) is a universally recognized safe and minimally invasive approach for early glottic cancer. Narrow band imaging (NBI) is an optical technique working with a filtered light that reveals superficial mucosal abnormalities through the neoangiogenic pattern. The aim of this systematic review is to demonstrate the role of intraoperative NBI during TLM for early glottic cancer to better evaluate tumor extension and for more precise margin resection. Study Design/Materials and Methods A systematic review of the literature following the PRISMA guidelines was performed. A literature search was performed using the following keywords: TLM, NBI, and early glottic cancer. Two independent authors evaluated the extracted data. Data regarding status of surgical margins after TLM, local recurrence, recurrence-free survival, and need of additional samples following NBI were collected. Results Five articles met inclusion criteria with a total of 577 patients undergoing TLM with intraoperative NBI. A significant reduction of positive superficial margins was found in patients treated with (52%) and without (28.6%) intraoperative use of NBI (P < 0.05) Conclusions Routine use of intraoperative NBI increases the accuracy of neoplastic superficial spreading evaluation and accuracy of mass resection during TLM for early glottic cancer. The significant reduction of superficial positive margins dramatically decreases the number of patients at risk and improves clinical outcomes. Lasers Surg. Med. (c) 2019 Wiley Periodicals, Inc.
2019
NBI; early glottic cancer; larynx cancer; narrow-band imaging; transoral laser microsurgery
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
The prognostic value of adding narrow-band imaging in transoral laser microsurgery for early glottic cancer: a review / Campo, Flaminia; D'Aguanno, Vittorio; Greco, Antonio; Ralli, Massimo; de Vincentiis, Marco. - In: LASERS IN SURGERY AND MEDICINE. - ISSN 0196-8092. - 52:4(2019), pp. 301-306. [10.1002/lsm.23142]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1352549
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