Cy. Su et Cf. Hwang, NEAR-TOTAL LARYNGOPHARYNGECTOMY WITH PECTORALIS MAJOR MYOCUTANEOUS FLAP IN ADVANCED PYRIFORM CARCINOMA, Journal of Laryngology and Otology, 107(9), 1993, pp. 817-820
Successful restoration of phonation, as well as swallowing in laryngop
haryngeal surgery for patients with advanced pyriform carcinoma still
remains a major challenge. In a five-year period, near-total laryngect
omy operations were performed on 21 patients with laryngopharyngeal ca
rcinoma. This report particularly emphasizes the value of near-total l
aryngopharyngectomy with a pectoralis major myocutaneous flap for four
extensive hypopharyngeal carcinoma cases (three of which were of pyri
form origin). All four patients regained intelligible shunt speech and
smooth swallowing. The follow-up period ranged from 19 to 44 months.
They have had no recurrence of disease since surgery. The authors sugg
est that an advanced pyriform carcinoma case, with a normal contralate
ral hemilarynx and pyriform sinus, is a candidate for a near-total exc
ision of the laryngopharynx.