Abstract
BackgroundThe aim of this study is to assess the functional and oncologic results of supracricoid hemilaryngopharyngectomy and report our experience in the technique, local control and overall survival rates.Materials and methods18 selected patients with pyriform sinus cancer treated by supracricoid hemilaryngopharyngectomy in a University Hospital setting. Retrospective chart review was used to assess functional and oncologic results of the procedure.ResultsThe actuarial 5 year survival rate in our study was 55.56% and the actuarial neck recurrence rate was 16.67%. All patients were successfully decannulated. Aspiration pneumonia was the most common postoperative complication (22.23%) and was treated mostly conservatively. One patient required a temporary gastrostomy but no patient needed total laryngectomy in the postoperative period.ConclusionSupracricoid hemilaryngopharyngectomy in experienced hands is a reliable technique for selected patients with pyriform sinus cancer.
Highlights
The aim of this study is to assess the functional and oncologic results of supracricoid hemilaryngopharyngectomy and report our experience in the technique, local control and overall survival rates
Supracricoid hemilaryngopharyngectomy in experienced hands is a reliable technique for selected patients with pyriform sinus cancer
We retrospectively reviewed selected cases of patients with pyriform sinus carcinoma treated by supracricoid vertical hemilaryngopharyngectomy in our service between 1994 and 2002
Summary
The aim of this study is to assess the functional and oncologic results of supracricoid hemilaryngopharyngectomy and report our experience in the technique, local control and overall survival rates. The pyriform sinus is the most common site of origin of hypopharyngeal cancer accounting for almost 70% of hypopharyngeal carcinoma cases (Pingree T.F. 1987)[1], followed by the posterior wall (20%) and the postcricoid region (Carpenter R.J. 3rd 1977)[2]. We retrospectively reviewed selected cases of patients with pyriform sinus carcinoma treated by supracricoid vertical hemilaryngopharyngectomy in our service between 1994 and 2002. The objective of our study is to assess the functional and oncologic results of the procedure and report our local control and overall survival rates
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