Surgical management of advanced hypopharyngeal carcinoma: a case report and literature review.

Abstract

BACKGROUND:

Surgical resection of advanced primary head and neck cancers especially of the upper aerodigestive tract like hypopharyngeal cancer, usually leave a very big defect, which has to be reconstructed in order to maintain the gastropharyngeal continuity. This oncological surgery is best performed at the same sitting as a one staged procedure.

STUDY DESIGN:

A clinical case of a 56-year-old female with advanced hypopharyngeal cancer who had a single stage total pharyngolaryngectomy and partial oesophagectomy with reconstruction of the upper aerodigestive tract using pectoralis major pedicled flap and post operative adjunct chemo-radiation therapy.

RESULT:

Functionally, our patient had good swallowing reflex, fed on normal diet free of feeding tube and no gastric reflux. There was clinical evidence of weight gain. No evidence of flap complications post surgery.

CONCLUSION:

The rarity of this procedure and its advantages in the management of an advanced hypopharyngeal cancer in this environment are discussed.

• Authors: P A Onakoya, O G B Nwaorgu, A M Kodiya, I A Ogunmodede, A A Sanusi, O M Oluwatosin
• Journal: West African journal of medicine (West Afr J Med) 2006 Oct-Dec Vol. 25 Issue 4 Pg. 305-8 ISSN: 0189-160X [Print] Nigeria
• PMID: 17402523 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Carcinoma, Squamous Cell (surgery)
• Female
• Humans
• Hypopharyngeal Neoplasms (surgery)
• Middle Aged
• Plastic Surgery Procedures (methods)
• Surgical Flaps