Partial pharyngolaryngectomy with infrahyoid flap: Our experience.
Am J Otolaryngol
; 40(6): 102271, 2019.
Article
en En
| MEDLINE
| ID: mdl-31445929
ABSTRACT
AIM:
We evaluated a cohort of advanced hypopharyngeal squamous cell carcinoma, treated with conservative surgery, reconstruction with infrahyoid flap and radio-chemotherapy.METHODS:
We used partial pharyngo-laryngectomy and radio-chemotherapy to treat fifty-seven patients with stage III-IV hypopharyngeal SCC from November 1994 to December 2011. Clinical examination and speech therapy evaluation were used for estimation of laryngeal function.RESULTS:
All patients received a partial pharyngo-laryngectomy. All patients underwent neck dissection; 56 patients received bilateral neck dissection. Reconstruction was achieved by infra-hyoid flap. Five-year overall and disease-specific survival rates were 54.4% and 61.4%, respectively. Successful laryngeal function preservation with complete five-year remission was achieved in 44% of the patients.CONCLUSION:
Selected even if advanced carcinomas of the hypopharynx maybe treated with partial pharyngo-laryngectomy with reconstruction with pedicled flap. Both oncological and functional results showed a good outcome.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Faringectomía
/
Colgajos Quirúrgicos
/
Carcinoma de Células Escamosas
/
Neoplasias Hipofaríngeas
/
Procedimientos de Cirugía Plástica
/
Laringectomía
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2019
Tipo del documento:
Article