When total pharyngectomy
is performed, special attention must be paid to reconstruction of the circular defect of the pharynx.
Mochiki, "Partial pharyngectomy for hypopharyngeal carcinoma," Toukeibu Gan, vol.
Choi, "Larynx-preserving partial pharyngectomy via lateral pharyngotomy for the treatment of small (T1~2) hypopharyngeal squamous cell carcinoma," Clinical and Experimental Otorhinolaryngology, vol.
B, Surgical defect following a limited lateral pharyngectomy
in the same patient.
Comparing patients who had complete pharyngectomy
to those who had a partial or limited pharyngectomy
, there was no significant difference in major fistulas.
Mean flap dimension was 7 cm x 12 cm (flaps needed for circular pharyngectomy
defects Figure 3--approximately 15 cms (length) x 7-8 cms below at esophageal stump and 12-15 ms at oropharynx stump were distinctly larger than those lined pharynx by 20 sq cms).
Treatments: TL = total laryngectomy; RT = radiotherapy; VPL = vertical partial laryngectomy; FND = functional neck dissection; PL = partial laryngectomy; MLS = microlaryngeal surgery; LD = laser debulking; SPL = simple partial laryngectomy; C[O.sub.2] = C[O.sub.2] laser surgery; MND = modified neck dissection; ELR = endoscopic laser resection; RND = radical neck dissection; HT = hemithyroidectomy; STL = simple total laryngectomy; Bx = biopsy; PP = partial pharyngectomy
The patient subsequently underwent a partial pharyngectomy
with radial forearm flap reconstruction and preservation of the larynx.
Similarly, a loss of motor function after a total or subtotal pharyngectomy
or palatectomy must also be addressed.
He told me of a pharyngectomy
operation he had devised to excise the denervated mucosa.
The surgeon performed a bilateral neck dissection, subtotal glossectomy, total laryngectomy, and partial pharyngectomy
. The operation created a 6 x 10-cm defect at the base of the tongue and the pharynx.
One surgical option is subtotal laryngectomy and/or partial pharyngectomy
, which offers several advantages: a precise delineation of the tumor, accurate margin assessment, optimal neck management, and the maintenance of adequate airway and swallowing functions (although the resultant voice quality is usually poor).