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Indication and surgical technique for extended hemilaryngectomy.
1Department of Otolaryngology, Head and Neck Surgery, Uzsoki Teaching Hospital, Uzsoki Str. 29, H-1145 Budapest, Hungary.
Summary
Supracricoid hemilaryngectomy successfully treats extended laryngeal and hypopharyngeal cancers. This procedure preserves airway function and vocal quality, though swallowing recovery may take several weeks.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Extended lateralized laryngeal and hypopharyngeal cancers often require extensive surgical resection.
- Conservation of the healthy hemilarynx is a viable treatment option for select cases.
Purpose of the Study:
- To evaluate the efficacy and functional outcomes of supracricoid hemilaryngopharyngectomy for advanced laryngeal and hypopharyngeal cancers.
Main Methods:
- Seven patients underwent supracricoid hemilaryngopharyngectomy, involving resection of the hemilarynx and ipsilateral pyriform sinus.
- Reconstruction utilized elevation of the posterior pharyngeal wall with mucosal suturing.
Main Results:
- The surgical technique yielded good functional results with no airway impairments.
- Satisfactory deglutition recovery ranged from 14 to 32 days.
- Phonatory rehabilitation was successful, resulting in satisfactory vocal quality.
Conclusions:
- Supracricoid hemilaryngopharyngectomy is an effective surgical option for extended lateralized laryngeal and hypopharyngeal cancers.
- The procedure preserves essential functions like breathing and voice, with manageable recovery times for swallowing.