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Pull-through oropharyngectomy in advanced stage malignant tumours

Published online by Cambridge University Press:  29 June 2007

J. Basterra ,
J. V. Bagán ,
E. Zapater  and
M. Armengot
J. Basterra*
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Valencia University Medical School and General University Hospital, Valencia, Spain.
J. V. Bagán
Affiliation:
Departments of Otolaryngology and the Department of Stomatology, Valencia University Medical School and General University Hospital, Valencia, Spain.
E. Zapater
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Valencia University Medical School and General University Hospital, Valencia, Spain.
M. Armengot
Affiliation:
Departments of Otolaryngology and Head and Neck Surgery, Valencia University Medical School and General University Hospital, Valencia, Spain.
*
Address for correspondence: J. Basterra, Plaza Legión Española 4, 46010 - Valencia, Spain. Fax: 34-6-3864805
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Abstract

Surgery is the first therapeutic option in extensive oropharyngeal carcinomas. An operation to treat these tumours is described, based on the hemiglossopelvectomy without mandibulectomy technique. Tumours located in the oropharynx are resected downwards by a modified pull-through approach, performing the resection of the oropharyngeal tumour in monoblock with the ipsilateral neck dissection, avoiding any action upon the mandible. The operation has been performed in 14 consecutive patients. By avoiding either mandibulotomy or mandibulectomy, morbidity and post-operative recovery are improved.

Keywords

Oropharyngeal neoplasmsSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 4 , April 1998 , pp. 355 - 359
Copyright
Copyright © JLO (1984) Limited 1998

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