Hostname: page-component-77c89778f8-m8s7h Total loading time: 0 Render date: 2024-07-17T17:03:01.570Z Has data issue: false hasContentIssue false

Surgical salvage in postcricoid cancer

Published online by Cambridge University Press:  29 June 2007

P. H. Jones
Affiliation:
Manchester
W. T. Farrington*
Affiliation:
Manchester
J. S. Weighill
Affiliation:
Manchester
*
Mr. Trevor Farrington, Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.

Summary

Twenty-one total pharyngo-laryngectomies have been performed at the Manchester Royal Infirmary between 1968 and 1982. A variety of methods of repair have been used, gastric transposition being the most common. Seventeen patients had received previous radiotherapy to the area, fourteen radical, two palliative and one to a supraglottic carcinoma 12 years before. Four had tumours judged to be too large to benefit from radiotherapy.

Of the patients who received radiotherapy, fourteen had a good response with palliation for an average of ten months before symptoms began to return.

Four patients survived over five years post-operatively and ten died following surgery.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arriagada, R., Eschwege, E., Cachin, Y. and Richard, J. M. (1983) The value of combining radiotherapy with surgery in the treatment of hypopharyngeal and laryngeal cancer. Cancer, 51: 18191825.3.0.CO;2-G>CrossRefGoogle Scholar
Bains, M. S. and Spiro, R. H. (1979) Pharyngolaryngectomy, total extrathoracic esophagectomy and gastric transposition. Surgery, Gynecology and Obstetrics, 149; 693696.Google ScholarPubMed
Fleischer, D., Kessler, F. and Haye, O. (1982) Endoscopic Nd:YAG laser therapy for carcinoma of the Esophagus: a new palliative approach. The American Journal of Surgery, 143: 280283.CrossRefGoogle ScholarPubMed
Harrison, D. F. N., Thompson, A. E. and Buchanan, G. (1981) Radical resection for cancer of the hypo-pharynx and cervical oesophagus with repair by stomach transposition. British Journal of Surgery, 68: 781783.CrossRefGoogle Scholar
Keane, T. J. (1982) Carcinoma of the Hypopharynx. Journal of Otolaryngology, 11: 227231.Google ScholarPubMed
Lam, K. H., Wong, J., Lim, S. T. K. and Ong, G. B. (1980) Surgical Treatment of Carcinoma of the Hypopharynx and Cervical Oesophagus. Annals of the Academy of Medicine of Singapore, 9: 317322.Google ScholarPubMed
McKeown, K. C. (1972) Trends in Oesophageal resection for carcinoma. Annals of the Royal College of Surgeons of England, 51: 213239.Google ScholarPubMed
Ranger, D. (1979) In Scott-Brown's Disease of the Ear, Nose and Throat (Ballantyne, J. and Groves, J., eds), pp. 171205. Butterworth's London.Google Scholar
Robinson, D. W. and MacLeod, A. (1982) Microvascular Free Jejunum Transfer. British Journal of Plastic Surgery, 35: 258267.CrossRefGoogle ScholarPubMed
Scanlon, E. F. I. and Staley, C. J. (1963) Reconstruction of the Cervical Esophagus by use of Colon Transplants. Surgical Clinics of North America, 43: 310.CrossRefGoogle ScholarPubMed
Schuller, D. E. (1983) Pectoralis Myocutaneous Flap in Head and Neck Reconstruction. Archives of Otolaryngology, 109: 185189.CrossRefGoogle Scholar
Shaw, H. J. (1964) Discussion of Replacement Surgery for Postcricoid Carcinomas. Proceedings of the Royal Society of Medicine, 57: 11081109.Google Scholar
Silver, C. E. (1981) Surgery for Cancer of the Larynx and Related Structures, Churchill Livingstone, New York, Edinburgh, London and Melbourne.Google Scholar
Stell, P. M. (1979) In Clinical Otolaryngology (Maran, A. G. D. and Stell, P. M. eds), pp. 368381. Blackwell Scientific Publications, Oxford, London, Edinburgh and Melbourne.Google Scholar
Stell, P. M., Carden, E. A., Hibbert, J. and Dalby, J. E. (1978) Post-cricoid carcinoma. Clinical Oncology, 4: 215226.Google ScholarPubMed
Strong, M. S., Vaughan, C. W., Kayne, H. L., Aral, I. M., Ucmakli, A., Feldman, M. and Healy, G. B. (1978) The American Journal of Surgery, 136: 494500.CrossRefGoogle Scholar