Hypopharyngeal cancer surgery
Hypopharyngeal cancer Microchapters |
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Hypopharyngeal cancer surgery On the Web |
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Risk calculators and risk factors for Hypopharyngeal cancer surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Overview
Surgery
Surgical resection is a better option in the following situations:
Small tumours where the surgical defect is minimal and functional restoration assured. Large tumours with spread beyond the primary site to involve bone or cartilage. These tumours rarely, if ever, respond to radial radiotherapy. Modern reconstructive techniques and the use of free flaps have allowed many of these tumours to be successfully resected and reconstructed in a single-stage procedure. This has allowed a more rapid transition to post-operative radiotherapy, which is essential if all the benefits of multimodality therapy are to be achieved. 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.
Some patients need surgery to remove the tumor, including all or part of the vocal cords (laryngectomy). If you have a laryngectomy, speech therapy can help you learn other ways to talk.