Abstract:
Squamous cell carcinoma of hypopharynx is a relatively rare tumour. There are different treatment options depending upon extent of disease. In this study 20 patients having carcinoma hypopharynx at T3 and T4 stage were treated by total laryngopharyngo oesophagectomy and stomach pull up with or without neck dissection. There were 12 females (60%) and 8 males (40%) with age range 30-60 years. Regarding the nodal status 10 had N1, 5 patients N2 and 5 patients were without nodal involvement. Out-come of surgery was assessed by regular follow-up in ENT outpatient department for 3 years. The results showed that 8 patients (40%) were disease free, 6 patients (30%) were under observation, 4 patients died and 2 patients (10%) lost in follow-up. Immediate complications, 4 patients (20%) had pneumothorax and one patient (5%) had rupture of trachea. Delayed complications noted in our patients, 2 had pharyngogastric stenosis (10%), 2 paitents presented with recurrence of disease. We assessed that total laryngopharygooesopharnygectomy with stomach pull up is a procedure of choice for the advanced stage of carcinoma hypopharynx. The procedure offers a significant chance of locoregional control of the disease and early postoperative oral feeding.
Page(s):
31-37
DOI:
DOI not available
Published:
Journal: Proceedings of sheikh zayed postgraduate medical institute, Volume: 17, Issue: 1, Year: 2003