PMID: 12761989May 24, 2003Paper

Preservative surgery of medial wall pyriform sinus cancer

Zhonghua er bi yan hou ke za zhi
J HuangT Wang

Abstract

To study the surgical methods and functional outcome of preservative surgery for medial wall pyriform sinus cancer. Seventy-one patients with medial wall pyriform sinus cancer, who were treated surgically between 1985 and 1997, were reviewed. Of the 71 cases, 49 underwent preservative surgery, and 22 total laryngectomy. Preservative surgical procedure was defined as follows: 1. Extent of resection: Supraglottic horizontal partial laryngectomy and resection of medial wall of pyriform sinus were performed in patients without fixation of the true vocal cord, and the section extended to paraglottic space, partial lateral wall of pyriform sinus, preepigottic space, superior-posterior of thyroid cartilage in those with restrained vocal cord motility. Supracricoid hemilaryngopharyngectomy and resection of medical wall and partial lateral wall of pyriform sinus were practiced in those with fixed hemilarynx. Cricoid ring and cervical esophagus were removed partially if the pyriform sinus apex was involved. 2. Reconstruction: Larynx: the remains of epiglottis, perichondrium of thyroid cartilage, the infrahyoid muscular fascia, and the platysmal flap were utilized to restore the defects of larynx. Pyriform sinus: Suturing the remaining ph...Continue Reading

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Related Papers

Zhonghua zhong liu za zhi [Chinese journal of oncology]
Liqiang ZhangQiuan Yang
Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
Xiao-Lei WangPing-zhang Tang
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
Jin-biao ShangMing-hua Ge
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
Xue-zhong LiTianduo Wang
© 2022 Meta ULC. All rights reserved