Prof. Roberto Puxeddu (Cagliari)
CLINICAL HISTORY: No smoking habit and no alcohol intake. Progressive dysphonia for 1 year associated to constant irritation of the throat.
Fibrolaryngoscopy showed a vegetating lesion of the middle and anterior third of the left vocal cord without impairment of vocal cord mobility. The evaluation of the neck did not show any anomaly.
GIRBAS evaluation of the voice showed the following results: 3, 3, 3, 1, 1, 3.
The patient underwent intraoperative evaluation of the lesion and incisional biopsy that resulted positive for squamous cell carcinoma at histology.
DIAGNOSIS: cT1N0M0 G2 squamous cell carcinoma of the left vocal cord
PLANNED SURGERY: Transoral CO2 laser left type II/III cordectomy +/- vocal fold augmentation with autologous fat