Larynx preservation and hypopharyngeal reconstruction in posterior hypopharyngeal wall sqamous cell carcinoma
10.3760/cma.j.issn.1673-0860.2014.07.005
- VernacularTitle:下咽后壁鳞状细胞癌患者喉功能保留及修复
- Author:
Dangui YAN
1
;
Bin ZHANG
;
Dezhi LI
;
Zhengjiang LI
;
Wensheng LIU
;
Zhengang XU
Author Information
1. 100021,北京协和医学院中国医学科学院肿瘤医院肿瘤研究所头颈外科
- Keywords:
Hypopharyngeal neoplasms;
Carcinoma,squamous cell;
Reconstructive surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(7):548-552
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the larynx preservation after resection of posterior hypopharygeal wall squamous cell carcinoma.Methods 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.Results 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.Conclusion 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.
