Larynx preservation and hypopharyngeal reconstruction in posterior hypopharyngeal wall sqamous cell carcinoma / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 548-552, 2014.
Article
in Zh
| WPRIM
| ID: wpr-233851
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the larynx preservation after resection of posterior hypopharygeal wall squamous cell carcinoma.</p><p><b>METHODS</b>Retrospective review of 13 patients who underwent resection of posterior hypopharyngeal wall squamous cell carcinoma from October 2004 to May 2013. Of 13 patients, 6 had T2 lesions and 7 had T3 lesions. Two underwent salvage surgery, 2 with concurrent chemoradiotherapy before surgery, 2 with no radiotherapy and other 7 with postoperative radiotherapy (55 Gy). Repair with flap was not required in 6 cases, and repair with free skin graft was performed in 1 case, submental flap for 1 case, supraclavicular artery flap for 1 case, radial forearm flaps for 3 cases, and anterolateral thigh flap for 1 case for laryngopharyngeal reconstruction.</p><p><b>RESULTS</b>The 3 year over all survival rate and disease-specific survival rate were 51.6%. Surgical complications included 3 fistula, 1 wound infection, and 1 wound effusion. The rate of decanulation was 100%, and all patients were with oral feeding.</p><p><b>CONCLUSION</b>Different flaps can be used to reconstruct a functional larynx after resection of posterior hypopharyngeal wall squamous cell carcinoma, patients having good quality of life.</p>
Full text:
1
Database:
WPRIM
Main subject:
Quality of Life
/
General Surgery
/
Surgical Flaps
/
Carcinoma
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Carcinoma, Squamous Cell
/
Hypopharyngeal Neoplasms
/
Survival Rate
/
Retrospective Studies
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Skin Transplantation
/
Salvage Therapy
Type of study:
Observational_studies
Aspects:
Patient_preference
Limits:
Humans
Language:
Zh
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2014
Document type:
Article