SURGICAL-MANAGEMENT OF THE HYPOPHARYNGEAL AND CERVICAL ESOPHAGEAL CANCER

Between December 1979 and December 1992, 15 patients with hypopharynge al and cervical esophageal cancer were treated surgically. Total phary ngolaryngectomy and partial cervical esophagectomy were performed and the defects were reconstructed with cervical skin flaps in 2 cases. Th e free jejunal segments were used in 6 cases following total pharyngol aryngectomy and cervical esophagectomy, cervical esophagectomy (larynx preserved) was repaired with free jejunal graft in 1 case. The pharyn gogastric anastomosis following total pharyngolaryngoesophagectomy wer e performed in 4 cases, one of them, used pectoralis major myocutaneou s flap for resection of soft tissue and skin of the neck. The pectoral is major myocutaneous flap and forearm free flap in 1 case respectivel y were used to reconstruct the deficits of total laryngectomy and part ial pharyngectomy, and partial pharyngolaryngectomy. In our series, 1, 3, 5 years survival rates were 73.3% (11 / 15), 50% (6 / 12) and 55.6 % (5 / 9), respectively, The advantages and disadvantages of a variety of operative procedures and the cervical lymph nodes management will be discussed.