Near-total laryngopharyngectomy with pectoralis major myocutaneous flap in advanced pyriform carcinoma.
Successful restoration of phonation, as well as swallowing in laryngopharyngeal surgery for patients with advanced pyriform carcinoma still remains a major challenge. In a five-year period, near-total laryngectomy operations were performed on 21 patients with laryngopharyngeal carcinoma. This report particularly emphasizes the value of near-total laryngopharyngectomy with a pectoralis major myocutaneous flap for four extensive hypopharyngeal carcinoma cases (three of which were of pyriform origin). All four patients regained intelligible shunt speech and smooth swallowing. The follow-up period ranged from 19 to 44 months. They have had no recurrence of disease since surgery. The authors suggest that an advanced pyriform carcinoma case, with a normal contralateral hemilarynx and pyriform sinus, is a candidate for a near-total excision of the laryngopharynx.
Su
C Y
CY
Department of Otolaryngology, Chang Gung Medical College, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C.
Hwang
C F
CF
D000368:Aged; D003679:Deglutition / Q000502:physiology; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D010611:Pharyngectomy / Q000379:methods*; D010699:Phonation / Q000502:physiology; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000379:methods*