Li W, Wei D, Qian Y, Cao S, Liu D, Lei D, Pan X. A novel surgical approach for hypopharyngeal carcinoma resection via the paraglottic space.
BMC Surg 2021;
21:230. [PMID:
33941151 PMCID:
PMC8094522 DOI:
10.1186/s12893-021-01223-1]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 04/26/2021] [Indexed: 11/16/2022] Open
Abstract
Background
Conservative surgery has proven advantageous in controlling hypopharyngeal squamous cell carcinoma (HSCC) and preserving speech and swallowing function in carefully selected patients, typically with early T-stages diseases. A variety of modified surgical procedures or techniques have been proposed.
Methods
In this study, we present a novel surgical approach for hypopharyngeal carcinoma resection utilizing the paraglottic space.
Results
The paraglottic space approach can help expose neoplasms under direct vision and save mucosa during surgery while sufficiently preserving laryngeal function, thus benefiting postoperative swallowing and reducing complications. A large cohort of 426 patients with HSCC underwent surgical treatment at our institution using this approach, demonstrating an overall survival (OS) rate of 52.3% and low incidences of postoperative complications.
Conclusions
This surgical approach can be applied in patients with the lesions that do not involve the paraglottic space.
Supplementary Information
The online version contains supplementary material available at 10.1186/s12893-021-01223-1.
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