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Hemipharyngectomy and hemilaryngectomy for pyriform sinus cancer: Reconstruction with remaining larynx and hypopharynx and with tracheostomy
Author(s) -
Barzan Luigi,
Comoretto Roberto
Publication year - 1993
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 - 10.1288/00005537-199301000-00015
Subject(s) - pyriform sinus , medicine , larynx , hypopharyngeal cancer , surgery , stenosis , carcinoma , cancer , laryngectomy , anatomy , radiology , radiation therapy , fistula
When resection of the posterior hypopharyngeal wall is undertaken for treatment of pyriform sinus carcinoma, a very narrow mucosal strip may be left for reconstruction. A surgical technique for carcinoma which has invaded the whole lateral hypopharyngeal wall is described. It consists of resecting half the larynx and half the hypopharynx and reconstructing the food canal using the mucosa of the unaffected half of the larynx and the remnant hypopharynx. A series of 34 patients treated by this technique is presented. No hypopharyngeal stenosis was observed. Local recurrences developed in 9 cases and distant metastases in 6. A specific disease mortality rate of 44% was encountered. At present, 15 patients are disease‐free after a median follow‐up of 48 months.