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82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Surgical methods in the hypopharynx cancer treatment

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  • corresponding author Mihail Dan Cobzeanu - UMF Gr.T.Popa, Iasi, Romania
  • Radu Moraru - Sf. Spiridon Hospital, Iasi, Romania
  • Ionut Hantascu - Sf. Spiridon Hospital, Iasi, Romania
  • Bogdan-Mihail Cobzeanu - UMF Gr,T. Popa, Iasi, Romania
  • Mihaela Moscalu - UMF Gr,T. Popa, Iasi, Romania
  • Alice Imbrea - Sf. Spiridon Hospital, Iasi, Romania
  • Andreea Boboc - Sf. Spiridon Hospital, Iasi, Romania
  • Codrin Grozavu - Sf. Spiridon Hospital, Iasi, Romania
  • Cristina Bantu - Sf. Spiridon Hospital, Iasi, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod176

doi: 10.3205/11hnod176, urn:nbn:de:0183-11hnod1769

Published: April 19, 2011

© 2011 Cobzeanu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: The surgical treatment of the hypopharynx cancer was influenced by the diagnosis in advanced stages of patients which required different types of excision and pharynx reconstruction, followed in some cases by radiochimiotherapy.

Method: The authors performed a 10 years retrospective study (2000–2009) of surgical treatment applied in 156 patients with hypopharyngeal cancer, solved in the ENT department of “Sf.Spiridon” University Hospital, Iasi, Romania. In 108 cases the surgical treatment required radiochimiotherapy.

Results: We analyzed the results, incidents, complications and evolution after different types of partial or total pharyngectomy. In the cases where excision was necessary to be more the a half of pharynx, we had to close the defect by different surgical reconstruction methods.

Conclusions: The postoperative results, evolution and survival in the hypopharynx surgical therapy were influenced both by individual factors and the tumor stages.

The different reconstructive surgical methods used to close the pharynx defects appeared after tumor excision or fistula, allow to obtain a better prognosis and quality of life.

Keywords: hypopharynx carcinoma, surgical methods, prognosis, evolution, survival, quality of life.