Larynx preservation and hypopharyngeal reconstruction in posterior hypopharyngeal wall sqamous cell carcinoma / 中华耳鼻咽喉头颈外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To study the larynx preservation after resection of posterior hypopharygeal wall squamous cell carcinoma.</p><p><b>METHODS</b>Retrospective review of 13 patients who underwent resection of posterior hypopharyngeal wall squamous cell carcinoma from October 2004 to May 2013. Of 13 patients, 6 had T2 lesions and 7 had T3 lesions. Two underwent salvage surgery, 2 with concurrent chemoradiotherapy before surgery, 2 with no radiotherapy and other 7 with postoperative radiotherapy (55 Gy). Repair with flap was not required in 6 cases, and repair with free skin graft was performed in 1 case, submental flap for 1 case, supraclavicular artery flap for 1 case, radial forearm flaps for 3 cases, and anterolateral thigh flap for 1 case for laryngopharyngeal reconstruction.</p><p><b>RESULTS</b>The 3 year over all survival rate and disease-specific survival rate were 51.6%. Surgical complications included 3 fistula, 1 wound infection, and 1 wound effusion. The rate of decanulation was 100%, and all patients were with oral feeding.</p><p><b>CONCLUSION</b>Different flaps can be used to reconstruct a functional larynx after resection of posterior hypopharyngeal wall squamous cell carcinoma, patients having good quality of life.</p>