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Updated: Jan 20, 2026

Engineered Vascularized Muscle Flap
Published on: January 11, 2016
Partial pharyngolaryngectomy with infrahyoid flap: Our experience
Sophie Cortese1, Enrico Muratori1, Romina Mastronicola2
1Institut de Cancérologie de Lorraine, Department of Surgical Oncology, 6 avenue de Bourgogne, 54519 Vandoeuvre-lès-Nancy, France.
Aim:
We evaluated a cohort of advanced hypopharyngeal squamous cell carcinoma, treated with conservative surgery, reconstruction with infrahyoid flap and radio-chemotherapy.
Methods:
We used partial pharyngo-laryngectomy and radio-chemotherapy to treat fifty-seven patients with stage III-IV hypopharyngeal SCC from November 1994 to December 2011. Clinical examination and speech therapy evaluation were used for estimation of laryngeal function.
Results:
All patients received a partial pharyngo-laryngectomy. All patients underwent neck dissection; 56 patients received bilateral neck dissection. Reconstruction was achieved by infra-hyoid flap. Five-year overall and disease-specific survival rates were 54.4% and 61.4%, respectively. Successful laryngeal function preservation with complete five-year remission was achieved in 44% of the patients.
Conclusion:
Selected even if advanced carcinomas of the hypopharynx maybe treated with partial pharyngo-laryngectomy with reconstruction with pedicled flap. Both oncological and functional results showed a good outcome.
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