gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Supracricoid hemipharyngo-laryngectomy for treatment of T1-2 hypopharyngeal tumors

Meeting Abstract

  • corresponding author Diana Szabó - ENT Department, University of Szeged, Szeged, Hungary
  • Miklós Csanády - ENT Department, University of Szeged, Szeged, Hungary
  • Balázs Sztanó - ENT Department, University of Szeged, Szeged, Hungary
  • Jenő Czigner - ENT Department, University of Szeged, Szeged, Hungary
  • József Jóri - ENT Department, University of Szeged, Szeged, Hungary

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. Doc08hnod197

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hnod2008/08hnod197.shtml

Veröffentlicht: 22. April 2008

© 2008 Szabó et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Authors report function spearing surgical treatment – supracricoid hemipharyngo-laryngectomy – for the treatment tumors of the piriform sinus. Surgical technic, oncological and functional result are demonstrated .

Method: 25 patients were retrospectively reviewed between 2000 and 2005 who underwent supracricoid hemipharyngo-laryngectomy with neck dissection for hypopharyngeal squamous cell carcinoma and neck metastasis in our department. Our surgical method contained removal of the half of the hyoid bone, the prelaryngeal muscles are unilateraly dissected and resection the lateral part of the thyroid cartilige and infiltrated pyriform sinus together with ary-region, above the level of the cricoid cartilige. The perichondrium of resected thyroidal cartilage was preserved and for the reconstruction of the neopharynx beside the pharyngeal mucosa and muscle was also applied. Prelaryngeal muscles were also reconstructed. 12 patients had postoperativ irradiation.

Results: Of the 25 patients 12 have no sign of recurrence (48%), 5 patients had recurrent metastasis (20%) required sRND, 2 patients had local recurrance and required total laryngectomy, in 2 patients observed second primary tumor (8%), 2 patients had distant metastasis (paratracheal-mediastinal, inguinal), 1 patients died of local recurrance, 1 patients died of general conditional problem.

Conclusion: Authors consider the method accounted a suitable function maintaing treatment in selective cases of piriform sinus cancer.