SUPRAGLOTTIC HEMILARYNGOPHARYNGECTOMY PLUS RADIATION FOR THE TREATMENT OF EARLY LATERAL MARGIN AND PYRIFORM SINUS CARCINOMA

Background: Supraglottic hemilaryngopharyngectomy is a functional proc edure suitable for the treatment of carcinoma of the upper part of the pyriform sinus and carcinoma of the lateral laryngeal margin. It cons ists of resection of the supraglottic hemilarynx and ipsilateral pyrif orm sinus. Methods: Forty-nine patients underwent this procedure from 1979 through 1994. The median age was 51 (40-72). The data were collec ted by a review of patients' records. Results: Two patients died in th e postoperative period. The average time of removal of the nasogastric tube was 14 days. The survival rate at 3 years was 52% and at 5 years , 47%. The local recurrence rate was 2%, the overall neck recurrence w as 15%, metastasis occurred in 15% of cases. Conclusions: Indications for this procedure are carcinoma of the upper part of the pyriform sin us and carcinoma of the laryngeal margin with normal vocal cord mobili ty. (C) 1997 John Wiley & Sons, Inc.