<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-6499</journal-id>
<journal-title><![CDATA[Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port ORL]]></abbrev-journal-title>
<issn>2184-6499</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-64992022000400289</article-id>
<article-id pub-id-type="doi">10.34631/sporl.1024</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Envolvimento da comissura anterior no carcinoma glótico - o subestadiamento é uma realidade?]]></article-title>
<article-title xml:lang="en"><![CDATA[Glottic carcinoma with anterior commissure involvement - is understaging a reality?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Areias]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Filipa Vaz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Mariana Branco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teles]]></surname>
<given-names><![CDATA[Sofia Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferraria]]></surname>
<given-names><![CDATA[Lília Mendes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[André]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Garcia de Orta  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>60</volume>
<numero>4</numero>
<fpage>289</fpage>
<lpage>293</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-64992022000400289&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-64992022000400289&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-64992022000400289&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos:  Determinar se o envolvimento da comissura anterior (CA) é um fator de prognóstico no carcinoma glótico (CG) para recidiva e para sobrevida a 5 anos. Desenho de estudo: Observacional retrospetivo.  Material e métodos:  Revisão dos processos clínicos de doentes com diagnóstico de CG com estadiamento T1a e T1b num período de 12 anos (2010-2021).  Resultados:  Vinte e três doentes (67,6%) foram classificados como estadio T1a (10 casos com envolvimento da CA) e 11 (32,4%) doentes com estadio T1b (7 casos com envolvimento da CA). O atingimento da comissura anterior associou-se a risco de recidiva para os casos T1b (p&lt;0,05), mas não para os casos T1a. A mortalidade a 5 anos não teve diferença estatisticamente significativa.  Conclusões:  Neste estudo, o envolvimento da CA foi fator de mau prognóstico na taxa de controlo do tumor durante o seguimento dos doentes. Os autores levantam assim a hipótese de este ser um fator a ser considerado no estadiamento T em tumores glóticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives:  To determine if anterior commissure (AC) involvement in glottic cancer (GC) is a prognosis factor to recurrence and 5-year survival rate.  Study design:  Observational retrospective. Methods: Assessment of medical files of patients who were diagnosed with GC with T1a and T1b staging during a 12-year period (2010-2021).  Results:  Twenty-three patients (67,6%) were classified with T1a stage (10 cases with AC involvement) and 11 patients (32,4%) with T1b staging (7 cases with AC involvement). AC involvement was associated with higher risk of recurrence for T1b cases (p&lt;0,05), but not for T1a cases. Five-year mortality rate had no significant statistically difference.  Conclusions:  AC involvement was a negative prognostic factor in local disease control during follow-up, thus raising the possibility of AC inclusion in T staging in glottic tumors.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[carcinoma glótico]]></kwd>
<kwd lng="pt"><![CDATA[comissura anterior]]></kwd>
<kwd lng="pt"><![CDATA[recidiva]]></kwd>
<kwd lng="pt"><![CDATA[sobrevida]]></kwd>
<kwd lng="en"><![CDATA[glottic carcinoma]]></kwd>
<kwd lng="en"><![CDATA[anterior commissure]]></kwd>
<kwd lng="en"><![CDATA[recurrence]]></kwd>
<kwd lng="en"><![CDATA[survival rate]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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