1.Gastric pull-up for esophageal reconstruction in hypopharyngeal cancer: report of 3 cases.
Wan Ki BAEK ; Ki Bong KIM ; Sook Whan SUNG ; Kwang Hyun KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(6):610-615
No abstract available.
Hypopharyngeal Neoplasms*
4.Pharyngoesophageal Reconstruction Using Modified Jejunomesenteric Composite Free Flap.
Journal of the Korean Cleft Palate-Craniofacial Association 2008;9(2):110-113
PURPOSE: The jejunal free flap is the most standard and reliable procedure of reconstruction of the circumferential pharyngoesophageal defect because it provides pliable, elastic, secreting mucosa and posses reliable vascular anatomy. In this report, the authors introduce the modification of jejunal free flap for decreasing the complications in fatty complicated patients. METHOD: After harvesting the jejunum with mesentery and mesenteric vessels, both ends of jejunum were excised remaining the mesenteric portion. The jejunal portion of this composite flap was placed to reconstruct esophagopharyngeal defect area and the mesenteric portion was used to obliterate the dead space at paratracheal region and to cover the vital structure and the vascular anastomotic region. RESULT: A 72 year-old man with recurrent hypopharyngeal cancer who had about 15cm sized circumferential pharyngoesophageal defect after total pharyngectomy was reconstructed with jejunomesenteric composite free flap without any complications. CONCLUSION: The mesenteric flaps at both side of jejunomesenteric composite free flap provide the advantages that could obliterate dead space, that could provide cover for the vital cervical vascular structure in case of vascularity was compromised due to previous radiation therapy, and that could preserve as much vascularity at both ends of jejunal flap as possible.
Free Tissue Flaps
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Hypopharyngeal Neoplasms
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Jejunum
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Mesentery
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Mucous Membrane
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Pharyngectomy
5.Endoscopic Resection of Hypopharyngeal Squamous Cell Carcinoma.
Gene Hyun BOK ; Won Young CHO ; Joo Young CHO ; So Young JIN ; Ji Ho AHN ; Chang Gyun CHUN ; Tae Hee LEE ; Hyun Gun KIM
Clinical Endoscopy 2013;46(2):189-192
Hypopharyngeal cancers are often diagnosed at an advanced stage and have a poor prognosis. Even when they are diagnosed at an operable stage, surgery often results in substantial morbidity and decreased patients' quality of life. Although the endoscopic diagnosis of early hypopharyngeal cancer is difficult, recent developments in advanced imaging endoscopy have enabled easier diagnosis of these lesions. Endoscopic resection of early hypopharyngeal cancer is a potential minimally invasive treatment that can preserve the function and quality of life of patients. Reports of this procedure are limited, however. We report a case of hypopharygeal cancer treated with endoscopic resection.
Carcinoma, Squamous Cell
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Endoscopy
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Humans
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Hypopharyngeal Neoplasms
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Prognosis
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Quality of Life
9.The options of surgery and laryngeal preservation for hypopharyngeal cancer patients more than 65 years old.
Qin WANG ; Yehai LIU ; Guoqin HU ; Kaile WU ; Chaobing GAO ; Yi ZHAO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(4):334-338
OBJECTIVE:
To study the effectiveness of preserving laryngeal function for senile hypopharyngeal cancer patientsolder than 65.
METHOD:
The clinical data of 58 surgery cases of senile hypopharyngeal cancer patients more than 65 years old were colleted and analyzed. Thirty-one cases preserved the laryngeal function, while the rest did not. Perfect preoperative preparation was done before surgery. Surgical resection specimens were sent to frozen-section examination. When the negative incisal margin was confirmed, the defect was repaired by the appilication of local stitching, ribbon muscle flap, major myocutaneous flaps, split thickness skin and replacement of esophagus by stomach. Radical radiotherapy was used after surgery. Survival rate was calculated by the Kaplan-Meier method. Chi-square test was used to compare complications of the two groups.
RESULT:
The 3 years and 5 years survival rate for all cases were 48.3% (28/58) and 27.6% (16/58), respectively. For patients with laryngeal function preservation, the 3 years and 5 years survival rate were 51.6% (16/31), 29.0% (9/31), respectively. For cases without laryngeal function preservation, the 3 years survival rate and 5 years survival rate were 44.4% (12/ 27), 25.9% (7/27), respectively. The result showed no obvious difference in survival rate between two groups (P > 0.05). Surgery complication rate were 45.2% (14/31) and 40.7% (11/27), without obvious differences between the two groups (P > 0.05).
CONCLUSION
It is feasible for senile hypopharyngeal cancer patients to choose suitable operation based on their physical conditions and the tumor extension. The key issues include well perioperative treatment management, correct indications grasp, and intraoperative repair skills improvement.
Aged
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Humans
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Hypopharyngeal Neoplasms
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surgery
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Larynx
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Survival Rate