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79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

30.04. - 04.05.2008, Bonn

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Revision surgery for pharyngeal necrosis after radiotherapy or total laryngectomy in larynx carcinomas

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  • corresponding author Mihail Dan Cobzeanu - University of Medicine and Pharmacy "Gr. T. Popa", Iasi, Romania
  • Vasile Costinescu - "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania
  • Daniela Rusu - "Sf. Maria" Pediatrical Hospital, Iasi, Romania
  • Camelia Cobzeanu - Ambulatory Radiological Department of "Sf. Spiridon" Hospital, Iasi, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Bonn, 30.04.-04.05.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. Doc08hnod278

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2008/08hnod278.shtml

Published: April 22, 2008

© 2008 Cobzeanu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Total laryngectomy with partial or total hypopharyngo-laryngectomy presents severe reconstructive problems, specially after radiotherapy, due to the necessity of creating a tubular structure with complex functional activity like phonation, swallowing, in a septic area, with vascular trouble.

Methods: In the ENT Department of “Sf. Spiridon” University Hospital, Iasi, Romania, 323 patients were solved by surgical methods for larynx or hypopharynx malign tumours between 2001–2006. In this presentation, we discussed about 23 cases which were solved by different types of flaps for closing the pharynx defects or pharynx cutaneous fistula.

Results: The results suggested that the reconstructive method should be selected with reference to the type of deffect, the simplicity of harvesting and the donor site.

Conclusions: In patients receiving radiotherapy, we must consider to appreciate the kind of flaps for closing the pharynx defect whose blood supply was affected by radiotherapy or surgical excise.