Transoral carbon-dioxide laser resection of hypopharyngeal carcinoma

In hypopharyngeal carcinoma, open partial resection is rarely feasible because of the high rate of chronic aspiration. Transoral laser surgery, however, is not associated with major swallowing problems. Between 1991 and 1995, a total of 29 patients with cancer of the hypopharynx were treated using l...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2003-04, Vol.260 (4), p.198-206
Main Authors: RUDERT, Heinrich H, HÖFT, Steffen
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Combined Modality Therapy
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Hypopharyngeal Neoplasms - pathology
Hypopharyngeal Neoplasms - surgery
Laser Therapy - methods
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local
Neoplasm Staging
Neoplasms, Second Primary
Otorhinolaryngology. Stomatology
Pharyngectomy - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Survival Analysis
Treatment Outcome
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:In hypopharyngeal carcinoma, open partial resection is rarely feasible because of the high rate of chronic aspiration. Transoral laser surgery, however, is not associated with major swallowing problems. Between 1991 and 1995, a total of 29 patients with cancer of the hypopharynx were treated using laser surgical resection. In 25 patients, a neck dissection was performed, and 26 patients were radiated postoperatively. The 5-year overall survival was 48% and tumor-related survival 58%. The outcome was significantly ( P
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-002-0520-8