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- Title
Extended voice-sparing surgery in selected pyriform sinus carcinoma: Techniques and outcomes.
- Authors
Hamoir, Marc; Fievez, Juliette; Schmitz, Sandra; Velasco, Dorris; Lengele, Benoît
- Abstract
Background Organ-preservation approaches are frequently favored in the treatment of advanced pyriform sinus carcinoma. In selected cases, use of free flaps allows voice-sparing surgery. Methods Thirteen patients underwent conservative extended laryngopharyngectomy. In 11 patients, the resection included the supraglottic larynx, whereas the whole hemilarynx was resected in 2. Reconstruction was achieved with a radial forearm free flap with the palmaris longus tendon. In hemilarynx resection, a costal graft was also used. Functional results were assessed by nasofibroscopy and swallowing videofluoroscopic tests. Results At 12 months, no patient was gastrostomy dependent, whereas 1 patient remained tracheostomy dependent. At 1, 3, and 5 years, the locoregional control was 100%, 100%, and 83%; overall survival was 69.4%, 46.3%, and 30.8%; and disease-specific survival was 81.2%, 54.5%, and 36.4%, respectively. Conclusions In selected patients, extended conservative laryngopharyngectomy challenges the oncologic results of organ-preservation protocols and allows a good quality of life. © 2012 Wiley Periodicals, Inc. Head Neck 35: 1482-1489, 2013
- Subjects
PRESERVATION of organs, tissues, etc.; PARANASAL sinuses; FREE flaps; CANCER patients; STOMACH surgery; CANCER
- Publication
Head & Neck, 2013, Vol 35, Issue 10, p1482
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.23174