We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
SUPRACRICOID HEMILARYNGOPHARYNGECTOMY IN PATIENTS WITH INVASIVE SQUAMOUS CELL CARCINOMA OF THE PYRIFORM SINUS.
- Authors
Laccourreye, Ollivier; Garcia, Dominique; Ishoo, Edwin; Illinois, Champaign; Kania, Romain; Mones, Erwan De; Hans, Stphane
- Abstract
On the basis of a retrospective review of an inception cohort of 135 patients, witb an isolaied. previously tmireated. moderately differentiated to well-differentiated invasive squamous cell carcinoma of Ihe pyriform sinus and a minimum of 3 years of follow-up, consecutively managed with a supracricoid bemilaryngopharyngectomy (SCHLP) at a single tertiary referral care center and locally controlled, the authors review in detail the surgical technique, highlight the potential technical pitfalls, and document the complications and long-term ftmciional otitcome. The overall postoperative mortality rate was 3.7'/(. The overall mortality rate directly related to ihe SCHLP was [.5%. A significant surgical complication directly related to SCHLP completion was noted in 9.69f of cases. The mean lengths of time to removal of the tracheotomy and feeding tubes were 9 and 19 days, respectively. The mean duration of bospitali/ation was 25 days. Normal swallow ing without aspiration by tbe first posloperaiive month was noted in 64.6'7( of patients. Temporary grade 1-2 a.spiration and grade 3 aspiration were noted in 2f).9'/( and H.5% of palienls. respectively. Overall, in uui series, successful oral alimentation without gastrostomy or completion total laryngectomy was achieved in 9\.99i of patients by the first postoperative yeiU". and the incidences of permanent gastrostoiny, completion total laryngectomy. and aspiration-related dcalb were 0.7%, 1,5%. and 0.7%. respectively. A significant late complication related to the use of p stoperative radiotherapy was noted in 26.5% of cases. From a functional point of view, such results suggest that SCHLP sbould be integrated among the \ arious onscrvation treatment options available to patients with selected invasive squainous cell carcinoma of the pyriform sinus.
- Subjects
CANCER patients; MORTALITY; SQUAMOUS cell carcinoma; LARYNGECTOMY; OPERATIVE surgery; CANCER
- Publication
Annals of Otology, Rhinology & Laryngology, 2005, Vol 114, Issue 1, p25
- ISSN
0003-4894
- Publication type
Article
- DOI
10.1177/000348940511400106