[Preservation of a vertical mucosa strip for one stage gullet reconstruction after radical resection of the pharynx and larynx (author's transl)].
17 out of 22 patients with a squamous cell cancer of the Hypopharynx (T2-T4,N1-N3) are treated by resection of the pharynx and larynx, combined with radical neck-dissection on both sides, total strumectomy and full course of radio-therapy, reaching from the base of the skull down to the madiastinum. For the immediate reconstruction of a nutritional pathway the preservation of a vertical tumor free strip of the pharyngeal wall at least 15 mm broad is recommended. The remaining mucosa resected at least 20 mm from the margin of the tumor, and the edges controlled by frozen sections can be sutured over a nasal gastric tube of 18 or 16 charr. The reconstruction has several advantages. Though the observation time of 15 months is short, the recurrence rate seems not to be higher than after total resection of the pharynx and larynx.
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008722:Methods; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000532:radiotherapy; D013536:Suture Techniques
Einzeitiger Speisewegaufbau nach radikaler Larynx-Pharynx-Resektion mit erhaltenem Schleimhautstreifen