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[Enlarged supraglottic laryngectomy (author's transl)]

Z Krajina, Z Bumber

    Laryngologie, Rhinologie, Otologie
    |July 1, 1981
    PubMed
    Summary

    Enlarged supraglottic laryngectomy effectively treats upper hypopharyngeal cancer, often a laryngeal cancer extension. This surgical approach, using sternohyoid muscle fascia for reconstruction, shows promising results with a low local recurrence rate.

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    Area of Science:

    • Otolaryngology
    • Head and Neck Surgery
    • Surgical Oncology

    Context:

    • Malignant tumors of the upper hypopharynx frequently arise as extensions of supraglottic laryngeal cancer.
    • Alternatively, they can develop de novo between the lingual epiglottis and the base of the tongue.

    Purpose:

    • To evaluate the efficacy of enlarged supraglottic laryngectomy for upper hypopharyngeal malignancies.
    • To assess the reconstructive technique utilizing sternohyoid muscle fascia for large defects.

    Summary:

    • Enlarged supraglottic laryngectomy demonstrated favorable outcomes in treating upper hypopharyngeal cancers.
    • Reconstruction of significant defects, involving the tongue base and laryngeal cartilage, was achieved using sternohyoid muscle fascia.
    • A series of 22 patients operated on since 1979 using this method reported only one local recurrence.

    Impact:

    • This surgical strategy offers a viable and effective treatment option for upper hypopharyngeal tumors.
    • The reconstructive method using sternohyoid muscle fascia proves successful in managing large post-resection defects.
    • The low recurrence rate suggests the potential for improved patient survival and quality of life.

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