Prof. Roberto Puxeddu (Cagliari)
CLINICAL HISTORY: Smoking habit (30 cigarettes/die for 30 years) and moderate alcohol intake. Progressive dysphonia for 4 months with no other symptoms.
Fibrolaryngoscopy showed a vegetating lesion of the left vocal cord with mild impairment of vocal cord mobility. CT scan of the neck and chest with contrast medium was negative for major local extension and regional and chest metastases.
GIRBAS evaluation of the voice showed the following results: 3, 2, 1, 3, 1, 1.
The patient underwent intraoperative work-up of the lesion and incisional biopsy that resulted positive for squamous cell carcinoma at histology.
DIAGNOSIS: cT2N0M0 G1 squamous cell carcinoma of the left vocal cord.
PLANNED SURGERY: Transoral CO2 laser type III left cordectomy +/- AC+, +/- vocal fold augmentation with autologous fat