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Supracricoid hemilaryngopharyngectomy conversion to Pearson's near‐total laryngectomy: A case report
Author(s) -
Laccourreye Ollivier,
Laccourreye Laurent,
CrevierBuchman Lise,
Brasnu Daniel,
Weinstein Gregory Steven
Publication year - 1997
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199705)19:3<232::aid-hed12>3.0.co;2-d
Subject(s) - laryngectomy , medicine , surgery , larynx
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. © 1997 John Wiley & Sons, Inc. Head Neck 19: 232–234, 1997.