A new lateral cervical approach for salvage total laryngo-pharyngectomy
| Autor: | Giuseppe Sanguineti, Fabio Ferreli, Giovanni Cristalli, Giuseppe Mercante, G. Spriano, Valentina Manciocco |
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| Rok vydání: | 2019 |
| Předmět: |
Larynx
medicine.medical_specialty Laringectomia totale di salvataggio Fistula medicine.medical_treatment Recurrent laryngeal cancer Cancro 03 medical and health sciences 0302 clinical medicine Carcinoma laringeo recidivato medicine Cervical approach 030223 otorhinolaryngology Cancer Pharyngeal flap business.industry Standard treatment Neck dissection Pharyngectomy medicine.disease Surgery Laryngectomy General Energy medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Approccio laterale Salvage total laryngectomy business Laringe Case Series and Reports Subcutaneous tissue |
| Zdroj: | Acta Otorhinolaryngologica Italica |
| ISSN: | 1827-675X |
| DOI: | 10.14639/0392-100x-1753 |
| Popis: | SUMMARY Total laryngectomy with subtotal pharyngectomy is the standard treatment of persistent/recurrent laryngeal and/or pharyngeal cancer. Salvage surgery can be complicated by pharyngo-cutaneous fistula because of previous treatment. The aim of this paper was to verify the feasibility of salvage total laryngectomy with subtotal pharyngectomy with a minimally invasive technique through a lateral cervical approach using the same skin incision used for resection of primary, synchronous neck dissection and pharyngeal flap reconstruction. This approach allowed harvesting of the anterior-myocutaneous flap including skin, subcutaneous tissue, platysma, anterior jugular veins, sterno- and homohyoid muscle in order to preserve as much tissue not involved by the tumour as possible. This technique is feasible and safe; further studies should confirm its advantages in terms of reduction of complications. |
| Databáze: | OpenAIRE |
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