TRANSORAL LASER PARTIAL LARYNGECTOMY: CURRENT RESULTS AND EVIDENCE

Abstract

Transoral laser partial laryngectomy (TCRL) has become one of the main surgical alternatives for the conservative treatment of early-stage laryngeal cancer, enabling tumor control with functional preservation and minimal morbidity. This study aimed to analyze recent scientific evidence on the oncological efficacy, functional outcomes, and complications associated with TCRL. An integrative literature review was conducted using the PubMed/MEDLINE, SciELO, and Cochrane Library databases, including publications from 2020 to 2025. Eight studies met the eligibility criteria and were analyzed descriptively and comparatively. Local control rates ranged from 82% to 95%, with laryngeal preservation above 90%. Recurrence occurred in up to 18% of cases with positive margins, whereas limited cordectomies demonstrated better vocal recovery. Complications were infrequent and of low severity. These findings reinforce TCRL as an effective, safe, and functionally advantageous technique for managing early laryngeal neoplasms, although further standardization of surgical margins and prospective studies with long-term functional assessment remain necessary.