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Depends on voice rest, resection extent, adjuvant treatment."},"complication_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Early bleeding, airway swelling or infection needing treatment within 30 days of limited cordectomy. Excludes expected hoarseness and margin re-treatment."},"contraindications":["Tumor not exposable through laryngoscope (anatomy or limited neck extension)","Extensive cartilage invasion or extralaryngeal spread beyond laser resection","Transoral resection expected to be incomplete (relative)","Resection would require sacrificing cricoid or both cricoarytenoid joints","Unfit for general anesthesia (relative, depends on comorbidity)","Uncorrectable bleeding disorder (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Planned same-day discharge after uncomplicated limited cordectomy. Unplanned overnight admission for airway, bleeding or medical concerns is excluded."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exertion and heavy straining resume after surgeon clearance and no bleeding. Light walking is fine from the first days."},"final_result_months":{"min":2,"max":6,"unit":"months","qualifier":"Voice stabilizes after mucosal healing; deeper resections take longer. Cancer control is judged by long-term surveillance, not voice."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Needs no bleeding, stable breathing and swallowing, surgeon clearance, pathology follow-up plan. Airway problems or more treatment delay travel."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"After Laser cordectomy: Review of final histopathology and margin status, and decision on further treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"After Laser cordectomy: Laryngoscopic check of healing and voice in uncomplicated recovery."}},{"purpose":"other","requirement":"conditional","after":{"min":30,"max":90,"unit":"days","qualifier":"After Laser cordectomy: Second-look microlaryngoscopy or re-resection only if margins are positive or close, or per tumor board."}}],"indications":["Biopsy-proven early glottic cancer (Tis, T1, selected T2), well exposed","Selected carcinoma in situ or severe dysplasia with suspected invasion","Selected recurrent or residual early glottic tumors"],"main_risks":["Bleeding, including delayed bleeding","Airway swelling or obstruction, rarely requiring tracheostomy","Persistent hoarseness, greater with deeper cordectomy","Positive or close margins needing re-resection or radiotherapy","Local recurrence","Local infection","Swallowing difficulty or aspiration (uncommon after limited resection)","Vocal fold scarring or anterior commissure web","Airway fire (rare)","Dental, lip or soft tissue injury from laryngoscope","Anesthesia-related risks"],"pain":"Usually mild to moderate sore throat for several days, managed with simple analgesics as advised. Increasing or severe pain needs clinical assessment.","preparation":["Biopsy-confirmed diagnosis, staging and neck imaging, reviewed by multidisciplinary team","Assessment of laryngeal exposure, vocal fold mobility and tumor extent","Preoperative anesthesia assessment and medication review, including anticoagulants","Fasting before general anesthesia","Stop smoking; continued smoking worsens outcomes","Discuss expected voice outcome, radiotherapy alternative, possible further treatment","Baseline voice assessment"],"recovery_timeline":[{"phase":"First days","description":"Home the same day with mild to moderate sore throat; diet advanced as tolerated. Short walks from day one.","restrictions":["Voice rest","No smoking","No heavy lifting or straining"]},{"phase":"First 2 weeks","description":"Mucosal healing with hoarseness; pathology and margin review. Light work usually resumes.","restrictions":["Avoid shouting, whispering strain and throat clearing","Avoid heavy straining"]},{"phase":"Weeks 2-8","description":"Gradual voice improvement and laryngoscopic healing check. Strenuous exercise resumes around weeks 2-4 after surgeon clearance and no bleeding; voice therapy if needed.","restrictions":["Avoid strenuous exertion until cleared"]},{"phase":"Months 2-6","description":"Voice stabilizes. 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Higher in selected T2 or anterior commissure disease."},"scars":"No external scar, as surgery is transoral. Internal vocal fold scarring may affect voice.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One planned resection; second visit only if second-look or re-resection is needed."},"stages":[{"code":"margin_review","label":"Pathology and margin review","after":{"min":7,"max":21,"unit":"days","qualifier":"After Laser cordectomy: Once final histopathology is available."}},{"code":"healing_check","label":"Laryngoscopic check of healing and voice","after":{"min":28,"max":60,"unit":"days","qualifier":"After Laser cordectomy: Planned review for uncomplicated healing."}},{"code":"second_look","label":"Conditional second-look or re-resection","after":{"min":30,"max":90,"unit":"days","qualifier":"After Laser cordectomy: Only if margins are positive or close, or per tumor board; timing varies."}}],"qualifier":"One planned resection with pathology and margin review. 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