Vocal cords paralysis
Radiotherapy is the TOC for: [AIIMS Nov. 09)
|A||Nasopharyngeal Ca T3 N,|
|B||Supraglottic Ca T3 No|
|C||Glottic Ca T3 N,|
|D||Subglottic Ca T3 No|
Ref: Dhingra 51e, p263-266, 61e p 252 Cummings Otoloryngology: Head and Neck Surgery, 51e, vol-Z, Chapter-99 Treatment of nasopharyngeal carcinoma
• State I and II Radiotherapy
• Stage III and IV Radiotherapy + chemotherapy (preferred) or radiotherapy alone in some cases.
Now let's see about treatment of other options .•
Total laryngectomy with neck dissection followed by radiotherapy.
• Glottic T3 N,
Total laryngectomy ± neck dissection ± radiotherapy (In some centers organ preserving surgery followed by chemoradiation is preferred).
• Sublottic Ca T3 No Total laryngectomy followed by post-operative radiation.