Hypopharyngeal cancer surgery

Hypopharyngeal cancer Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

Overview

The feasibility of surgery depends on the stage of hypopharyngeal cancer at the time of diagnosis.

Surgery

The feasibility of surgery depends on the stage of hypopharyngeal cancer at the time of diagnosis. Surgical resection is a better option in the following situations:

• Small tumors where the surgical defect is minimal and functional restoration assured.
• Large tumors with spread beyond the primary site to involve bone or cartilage. These tumors rarely, if ever, respond to radial radiotherapy.
• Salvage of lesions unresponsive or recurrent after radiotherapy. Reconstructive techniques involving free flaps which bring a better blood supply to the area have allowed better healing in previously irradiated tissues where the blood supply has been diminished by radiation.
• Endolaryngeal and hypopharyngeal disease is now being successfully treated with endoscopic laser techniques where previously external partial procedures, and even total laryngectomy, may have been considered.
• When the tumor is small, either surgery or radiation therapy alone can be used to remove the tumor.