Abstract:ObjectiveTo investigate the efficacy of CO2 laser phonomicrosurgery for early glottic carcinoma, and to explore the important notes about this surgery.Methods27 patients with early glottic carcinoma received CO2 laser phonomicrosurgery. As for the T stages of the tumor, there were 6 cases at Tis stage, 8 cases at T1a stage, 7 cases at T1b stage and 6 cases at T2 stage. The anterior commissure was involved by tumor in 3 of the 27 cases.ResultsAll patients were treated with CO2 laser phonomicrosurgery successfully. No severe complications such as dyspnea and hemorrhage occurred. Being followed up for more than 3 years postoperatively, all patients survived with local recurrence in 2 cases. Of these two, one underwent CO2 laser treatment again, and the other underwent vertical partial laryngectomy combined with postoperative radiotherapy. No local recurrence was found in both cases until the last followup.ConclusionsCO2 laser phonomicrosurgery is effective and minimally invasive for the treatment of the early glottic carcinoma. With appropriate selection of the patients and careful notice of the surgical skills, the adhesion of vocal cords may be reduced or even be avoided.