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Analysis of Recurrence and Survival after Hypopharyngeal Ablative Surgery with Radial Forearm Free Flap Reconstruction
Author(s) -
Scharpf Joseph,
Esclamado Ramon M.
Publication year - 2005
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/01.mlg.0000157856.54767.bf
Subject(s) - medicine , hypopharyngeal cancer , surgery , esophagectomy , forearm , resection margin , free flap , retrospective cohort study , esophageal cancer , resection , cancer , radiation therapy
Objectives/Hypothesis: To address the controversial acceptable distal resection margin for the surgical management of patients with hypopharyngeal cancer. Study Design: Retrospective review of the records of 28 consecutive patients who underwent pharyngoesophagectomy and reconstruction with radial forearm free flaps between 1996 to 2001. Methods: The Kaplan‐Meier method was used to estimate survival and recurrence‐free time. Results: The minimum follow‐up time was 2 years, and there were 14 (50%) patients who had recurrences. Analysis revealed that only one (3%) patient experienced a recurrence at the inferior resection margin, the junction of the free flap reconstruction, and the cervical esophagus. Estimated 4 year survival was 48.5%. Conclusions: Total laryngopharyngectomy and partial esophagectomy with radial forearm free flap reconstructions in appropriately selected patients with hypopharyngeal cancer does not compromise local recurrence rates at the distal esophageal margin.