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Vocal cords paralysis

Question
41 out of 58
 

For a mobile tumour on vocal cord, treatment is: (DNB Dec 2011)



A Surgery
B Chemotherapy

C Radiotherapy
D None of the above

Ans. C Radiotherapy Ref. Dhingra 51e, p 230-337

According to Dhingra

Radiotherpy is the treatment of choice for vocal cord cancer with normal mobility.

Normal mobility of cord suggests that growth is only limited to the surface and belongs to either stage T1 or T2.

TOC for stage T1 of glottic carcinoma - radiotherapy.

TOC for stage T2 of glottic carcinoma - depends on mobility of the cord

If vocal cords are mobile (. growth is limited to surface) Radiotherapy/micro laryngeal surgery is TOC

If local cords mobility is impaired (. deeper invasion)

Conservative surgery like vertical hemilaryngectomy or frotolateral hemilaryngectomy is TOC.

Note

If cord mobility is imparied radiotherapy is not preferred because of the possibility of developing perichondritis which would entail total laryngectomy .

According to higher books - again micro laryngoscopic surgery is TOC in early cases but since this is not an option we are going with radiotherapy.

Vocal cords paralysis Flashcard List

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