Hypopharynx and cervical esophagus reconstruction with remaining larynx and pharynx after operation on the advanced pyriform sinus cancer
- VernacularTitle:健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损
- Author:
Guohua HUO
- Publication Type:Journal Article
- Keywords:
Hypopharyngeal neoplasms;
Hypopharyngectomy;
Reconstruction
- From:
Journal of Chongqing Medical University
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the outcome of hypopharynx reconstruction using remaining larynx and pharynx in patients after hemipharyngectomy,partial laryngectomy and cervical esophagectomy.Methods:Twelve patients with advanced pyriform sinus cancer underwent hemipharyngectomy and partial laryngectomy.Two patients underwent cervical esophagectomy at the same time.All cases were reconstructed by the remaining larynx.Results:All cases were successful.Only one patient suffered from postoperative pharyngocutaneous fistulas,who had had perioperative radiotherapy.Patients could swallow ordinary foods and had no strictures after operation.Up to now,patients have been followed over 2 years,and two-year survival rate was 75%.One case has survived over 5 years. Conclusion:The hypopharynx reconstruction with remaining larynx and pharynx is simple and convenient.It is less invasive and has less complication.