Functional results with advanced hypopharyngeal carcinoma treated with circular near-total pharyngolaryngectomy and jejunal free-flap repair

Stephane Temam; Francois Janot; Michel Germain; Morbize Julieron; Evelyne Bretagne; Jeffrey N. Myers; Patrick Marandas; Gerard Mamelle; Anne Marie Leridant; Frederic Kolb; Bernard Luboinski

doi:10.1002/hed.20286

Functional results with advanced hypopharyngeal carcinoma treated with circular near-total pharyngolaryngectomy and jejunal free-flap repair

Stephane Temam, Francois Janot, Michel Germain, Morbize Julieron, Evelyne Bretagne, Jeffrey N. Myers, Patrick Marandas, Gerard Mamelle, Anne Marie Leridant, Frederic Kolb, Bernard Luboinski

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Résumé

Background. Patients treated by a circular pharyngolaryngectomy for advanced hypopharyngeal carcinoma have a poor prognosis and disappointing speech restoration. Methods. Three carefully selected patients underwent a near-total laryngectomy circular pharyngectomy with jejunal free flap repair and dynamic tracheopharyngeal shunt for treatment of advanced hypopharyngeal carcinoma. They received induction chemotherapy and postoperative radiotherapy. We assessed the functional outcome. Results. There was no major local complication. One year after the end of radiotherapy, all patients were able to eat solid diets. Two patients were able to speak immediately after the end of the treatment. After speech re-education, a high-quality tracheopharyngeal voice was restored in all three patients. Performance Status Scale for Head and Neck Cancer Patients (PSSHN) showed a mean score equal to 81/100 at 1 year. Conclusions. In selected patients, near-total laryngectomy circular pharyngectomy with tracheopharyngeal shunt and jejunal free-flap repair offers good voice rehabilitation without impairing swallowing function.

langue originale	Anglais
Pages (de - à)	8-14
Nombre de pages	7
journal	Head and Neck
Volume	28
Numéro de publication	1
Les DOIs	https://doi.org/10.1002/hed.20286
état	Publié - 1 janv. 2006

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10.1002/hed.20286

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title = "Functional results with advanced hypopharyngeal carcinoma treated with circular near-total pharyngolaryngectomy and jejunal free-flap repair",

abstract = "Background. Patients treated by a circular pharyngolaryngectomy for advanced hypopharyngeal carcinoma have a poor prognosis and disappointing speech restoration. Methods. Three carefully selected patients underwent a near-total laryngectomy circular pharyngectomy with jejunal free flap repair and dynamic tracheopharyngeal shunt for treatment of advanced hypopharyngeal carcinoma. They received induction chemotherapy and postoperative radiotherapy. We assessed the functional outcome. Results. There was no major local complication. One year after the end of radiotherapy, all patients were able to eat solid diets. Two patients were able to speak immediately after the end of the treatment. After speech re-education, a high-quality tracheopharyngeal voice was restored in all three patients. Performance Status Scale for Head and Neck Cancer Patients (PSSHN) showed a mean score equal to 81/100 at 1 year. Conclusions. In selected patients, near-total laryngectomy circular pharyngectomy with tracheopharyngeal shunt and jejunal free-flap repair offers good voice rehabilitation without impairing swallowing function.",

keywords = "Circular pharyngectomy, Hypopharynx, Jejunum free flap, Near-total laryngectomy, Speech rehabilitation",

author = "Stephane Temam and Francois Janot and Michel Germain and Morbize Julieron and Evelyne Bretagne and Myers, {Jeffrey N.} and Patrick Marandas and Gerard Mamelle and Leridant, {Anne Marie} and Frederic Kolb and Bernard Luboinski",

year = "2006",

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doi = "10.1002/hed.20286",

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T1 - Functional results with advanced hypopharyngeal carcinoma treated with circular near-total pharyngolaryngectomy and jejunal free-flap repair

AU - Temam, Stephane

AU - Janot, Francois

AU - Germain, Michel

AU - Julieron, Morbize

AU - Bretagne, Evelyne

AU - Myers, Jeffrey N.

AU - Marandas, Patrick

AU - Mamelle, Gerard

AU - Leridant, Anne Marie

AU - Kolb, Frederic

AU - Luboinski, Bernard

PY - 2006/1/1

Y1 - 2006/1/1

N2 - Background. Patients treated by a circular pharyngolaryngectomy for advanced hypopharyngeal carcinoma have a poor prognosis and disappointing speech restoration. Methods. Three carefully selected patients underwent a near-total laryngectomy circular pharyngectomy with jejunal free flap repair and dynamic tracheopharyngeal shunt for treatment of advanced hypopharyngeal carcinoma. They received induction chemotherapy and postoperative radiotherapy. We assessed the functional outcome. Results. There was no major local complication. One year after the end of radiotherapy, all patients were able to eat solid diets. Two patients were able to speak immediately after the end of the treatment. After speech re-education, a high-quality tracheopharyngeal voice was restored in all three patients. Performance Status Scale for Head and Neck Cancer Patients (PSSHN) showed a mean score equal to 81/100 at 1 year. Conclusions. In selected patients, near-total laryngectomy circular pharyngectomy with tracheopharyngeal shunt and jejunal free-flap repair offers good voice rehabilitation without impairing swallowing function.

AB - Background. Patients treated by a circular pharyngolaryngectomy for advanced hypopharyngeal carcinoma have a poor prognosis and disappointing speech restoration. Methods. Three carefully selected patients underwent a near-total laryngectomy circular pharyngectomy with jejunal free flap repair and dynamic tracheopharyngeal shunt for treatment of advanced hypopharyngeal carcinoma. They received induction chemotherapy and postoperative radiotherapy. We assessed the functional outcome. Results. There was no major local complication. One year after the end of radiotherapy, all patients were able to eat solid diets. Two patients were able to speak immediately after the end of the treatment. After speech re-education, a high-quality tracheopharyngeal voice was restored in all three patients. Performance Status Scale for Head and Neck Cancer Patients (PSSHN) showed a mean score equal to 81/100 at 1 year. Conclusions. In selected patients, near-total laryngectomy circular pharyngectomy with tracheopharyngeal shunt and jejunal free-flap repair offers good voice rehabilitation without impairing swallowing function.

KW - Circular pharyngectomy

KW - Hypopharynx

KW - Jejunum free flap

KW - Near-total laryngectomy

KW - Speech rehabilitation

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