Bocca's hemipharyngo‐total laryngectomy for hypopharyngeal carcinoma to avoid reconstruction with a pedicled flap. Issue 7 (23rd March 2018)

• Record Type: Journal Article
• Authors: Lucioni, Marco; Lionello, Marco; Salis, Gianni; Bertolin, Andy; Rizzotto, Giuseppe
• Is Part Of: Head & neck. Volume 40:Issue 7(2018)
• Page Start: 1476
• Page End: 1482
• Publication Date: 2018-03-23
• Subjects: Bocca -- hemipharyngectomy -- hypopharyngeal carcinoma -- total laryngectomy; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25124
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Major pharyngeal defects after total pharyngolaryngectomy for hypopharyngeal squamous cell carcinoma (SCC) frequently demand reconstruction strategies that include myocutaneous pedicled flaps, such as the pectoralis major flap. Methods: We retrospectively reviewed the clinical charts of 24 patients with hypopharyngeal SCC treated with Bocca's hemipharyngo‐total laryngectomy (HPTL) at our Institution. Results: Eighteen patients (80%) experienced no disease recurrence after primary surgery and were alive with no evidence of disease after a mean follow‐up of 43 months. The 2‐year overall survival (OS) and disease‐specific survival (DSS) rates in our sample were 69% and 82%, respectively. Conclusion: Bocca's HPTL enables an immediate neopharyngeal reconstruction, and is indicated in selected patients with intermediate to advanced hypopharyngeal tumors.