Document Detail


Reconstruction of hypopharynx and cervical oesophagus for treatment of advanced hypopharyngeal carcinoma and recurrent laryngeal carcinoma.
MedLine Citation:
PMID:  20497877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review our treatment strategy and outcomes in reconstructing the hypopharynx and cervical oesophagus with five techniques for advanced hypopharyngeal carcinoma and recurrent laryngeal carcinoma.
METHODS: Thirty-one patients treated between 1996 and 2007 were analysed retrospectively. Defects of the hypopharynx and cervical oesophagus were reconstructed using the remaining laryngeal mucosa flap, pectoralis major myocutaneous flap, forearm free flap, jejunal free flap or latissimus dorsi myocutaneous flap.
RESULTS: All patients were treated successfully. Postoperative pharyngocutaneous fistulas occurred in four patients, one of whom died from haemorrhage of carotid artery 1 month after surgery, and the other three resolved spontaneously. Dysphagia occurred in three patients, which was caused by food mass occlusion, or oesophageal stricture and stoma stricture. The 3- and 5-year survival rates were 59.3% and 43.5%, respectively.
CONCLUSION: A consensus treatment strategy for reconstructing the defect following hypopharyngectomy and cervical oesophagectomy has not been established. Every technique has its advantages and disadvantages. The treatment of choice depends upon the location and size of the carcinoma as well as the patient's characteristics and the doctor's experience.
Authors:
Qing Xiao; Guo-Hua Hu; Shi-Xun Zhong; Yi Qian; Quan Zeng; Su-Ling Hong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  33     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-08-20     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  14-9     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Asian Surgical Association. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Hematology, The First Affiliated Hospital, Chongqing Medical University, 1 Youyi Road, Yuzhong, Chongqing, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Esophagus / surgery*
Female
Humans
Hypopharyngeal Neoplasms / pathology,  surgery*
Hypopharynx / surgery*
Laryngeal Neoplasms / surgery
Male
Middle Aged
Neoplasm Recurrence, Local / surgery*
Reconstructive Surgical Procedures*
Retrospective Studies
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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