[Laryngeal function preserving surgery in elderly hypopharygeal carcinoma]

Area of Science:

• Oncology
• Otorhinolaryngology
• Surgical Oncology

Context:

• Hypopharyngeal carcinoma presents unique challenges in elderly patients.
• Laryngeal function preservation is a critical consideration for quality of life.

Purpose:

• To evaluate the indications and effectiveness of laryngeal function preservation in aged patients (≥60 years) with hypopharyngeal carcinoma.
• To analyze treatment methods and outcomes, including survival rates and complications.

Summary:

• A retrospective analysis of 41 elderly patients with hypopharyngeal carcinoma was conducted.
• Twenty-five patients underwent tumor resection with laryngeal function preservation, utilizing adjacent tissue or pectoralis major myocutaneous flaps for reconstruction.
• Post-operative complications occurred in 32% of cases (pharyngeal fistula, pulmonary infection), but respiratory and vocal functions were restored in all patients, with 20 decannulated within 3 months.

Impact:

• Laryngeal function preservation surgery, when appropriately selected and feasible, demonstrates safety and efficacy in elderly patients with hypopharyngeal carcinoma.
• The study highlights the potential for successful oncologic treatment combined with significant functional preservation in this demographic.
• Achieving good functional outcomes, including restoration of breathing and voice, is achievable with careful patient selection and surgical technique.