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Near-total laryngopharyngectomy with pectoralis major myocutaneous flap in advanced pyriform carcinoma

Published online by Cambridge University Press:  29 June 2007

Chih-Ying Su*
Affiliation:
From the Department of Otolaryngology, Chang Gung Medical College, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan (R.O.C).
Chung-Feng Hwang
Affiliation:
From the Department of Otolaryngology, Chang Gung Medical College, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan (R.O.C).
*
Chih-Ying Su, M.D., Department of Otolaryngology, Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan (R.O.C.). Fax: (07) 7318762

Abstract

Successful restoration of phonation, as well as swallowing in laryngopharyngeal surgery for patients with advanced pyriform carcinoma still remains a major challenge. In a five-year period, near-total laryngectomy perations were performed on 21 patients with laryngopharyngeal carcinoma. This report particularly emphasizes the value of near-total laryngopharyngectomy with a pectoralis major myocutaneous flap for four extensive hypopharyngeal carcinoma cases (three of which were of pyriform origin). All four patients regained intelligible shunt speech and smooth swallowing. The follow-up period ranged from 19 to 44 months. They ave had no recurrence of disease since surgery.

The authors suggest that an advanced pyriform carcinoma case, with a normal contralateral hemilarynx and pyriform sinus, is a candidate for a near-total excision of the laryngopharynx.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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References

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