These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: A classification system for the reconstruction of vertical hemipharyngolaryngectomy for hypopharyngeal squamous cell carcinoma.
    Author: Kim MS, Joo YH, Cho KJ, Park JO, Sun DI.
    Journal: Arch Otolaryngol Head Neck Surg; 2011 Jan; 137(1):88-94. PubMed ID: 21242554.
    Abstract:
    OBJECTIVE: To evaluate microvascular reconstruction of a vertical hemipharyngolaryngectomy (VHPL) defect for hypopharyngeal squamous cell carcinoma. DESIGN: Retrospective analysis of medical records. SETTING: Tertiary care referral center. PATIENTS: Thirty-two patients who underwent a VHPL. MAIN OUTCOME MEASURES: Assess the surgical technique and safety of VHPL and review the functional parameters of swallowing and decannulation. RESULTS: The classification was composed of 3 types of VHPL according to the extent of resection: limited VHPL (type I), resection at the lateral border of the conus elasticus to preserve both vocal cords (n = 10); total VHPL (type II), removal of a vertical section of the thyroid cartilage through the anterior commissure to the upper border of the cricoid cartilage with preservation of 1 vocal cord (n = 12); and extended VHPL (type III), inclusion of a supraglottic laryngectomy (type IIIa) (n = 6) or partial cricoid cartilage resection (type IIIb) (n = 4). A radial forearm free flap that included the palmaris longus tendon was used for reconstruction in 31 patients, and an anterolateral thigh flap was used in 1 patient. There was no perioperative mortality, and there was 100% free flap survival. Oral realimentation and tracheotomy weaning were achieved a mean of 33 and 32 days postoperatively, respectively. In 25 patients observed for longer than 6 months, the recurrence rate was 28% (7 of 25), and 5-year disease-specific survival was 64%. CONCLUSION: Microvascular reconstruction of VHPL offers a wider resection with promising functional results for hypopharyngeal carcinoma.
    [Abstract] [Full Text] [Related] [New Search]