title: Supracricoid hemilaryngopharyngectomy conversion to Pearson's near-total laryngectomy: a case report.
abstract: BACKGROUND
  Pearson's near-total laryngectomy was initially advocated in patients with extended glottic carcinoma and hypopharyngeal carcinoma. More recently, the utility of near-total laryngectomy for supraglottic pharyngeal, base of tongue, and other cancers such as thyroid cancer with anterior tracheal wall invasion has also been reported.
  
  
  METHODS
  The purpose of this case report was to demonstrate the feasibility of this procedure in the setting of severe aspiration after supracricoid hemilaryngopharyngectomy.
  
  
  RESULTS
  The first case of successful conversion from supracricoid hemilaryngopharyngectomy to Pearson's near-total laryngectomy in a patient with severe and recurrent aspiration is presented.
  
  
  CONCLUSIONS
  This case report suggests that when partial laryngopharyngectomy results in severe and recurrent aspiration, rather than having to convert the patient to a total laryngectomy with tracheoesophageal puncture, a near-total laryngectomy is a reasonable option with acceptable functional results.
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Hôpital Läennec, Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Laccourreye
authors.forename: L
authors.initials: L
authors.lastname: Laccourreye
authors.forename: L
authors.initials: L
authors.lastname: Crevier-Buchman
authors.forename: D
authors.initials: D
authors.lastname: Brasnu
authors.forename: G S
authors.initials: GS
authors.lastname: Weinstein
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D018572:Disease-Free Survival; D005240:Feasibility Studies; D005931:Glottis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010611:Pharyngectomy / Q000009:adverse effects / Q000379:methods*; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000517:prevention & control; D012086:Reoperation