Salvage transoral videolaryngoscopic surgery for post‐irradiation recurrence of hypopharyngeal carcinoma

Akihiro Sakai; Koji Ebisumoto; Hiroaki Iijima; Mayu Yamauchi; Takanobu Teramura; Aritomo Yamazaki; Takane Watanabe; Toshihide Inagi; Daisuke Maki; Kenji Okami

doi:10.1002/lio2.1068

Laryngoscope Investigative Otolaryngology (Jun 2023)

Salvage transoral videolaryngoscopic surgery for post‐irradiation recurrence of hypopharyngeal carcinoma

Akihiro Sakai,
Koji Ebisumoto,
Hiroaki Iijima,
Mayu Yamauchi,
Takanobu Teramura,
Aritomo Yamazaki,
Takane Watanabe,
Toshihide Inagi,
Daisuke Maki,
Kenji Okami

Affiliations

Akihiro Sakai: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Koji Ebisumoto: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Hiroaki Iijima: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Mayu Yamauchi: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Takanobu Teramura: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Aritomo Yamazaki: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Takane Watanabe: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Toshihide Inagi: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Daisuke Maki: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
Kenji Okami: Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan

DOI: https://doi.org/10.1002/lio2.1068
Journal volume & issue: Vol. 8, no. 3
pp. 667 – 674

Abstract

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Abstract Background Transoral salvage surgery has the potential to preserve a patient's quality of life. Therefore, we investigated the outcomes, safety, and risk factors for postoperative complications of salvage transoral videolaryngoscopic surgery (TOVS) for recurrent hypopharyngeal carcinoma after radiotherapy (RT) or chemoradiotherapy (CRT). Methods This retrospective analysis enrolled patients with hypopharyngeal cancer who had a history of RT or CRT and underwent TOVS from January 2008 to June 2021. The factors related to postoperative complications, postoperative swallowing functions and survival rates were analyzed. Results Seven patients (36.8%) of the 19 patients developed complications. Severe dysphagia was the primary complication, and post‐cricoid resection was a complication risk factor. The FOSS score was significantly lower in the salvage treatment group. The survival rates were: 3‐year overall survival: 94.4%; disease‐specific survival: 94.4%; 5‐year overall survival: 62.3%; and disease‐specific survival: 86.6%. Conclusions Salvage TOVS for hypopharyngeal cancer was feasible, and oncologically and functionally reasonable. Level of Evidence: 2b.

Published in Laryngoscope Investigative Otolaryngology

ISSN: 2378-8038 (Online)
Publisher: Wiley
Country of publisher: United States
LCC subjects: Medicine: Otorhinolaryngology; Medicine: Surgery
Website: https://onlinelibrary.wiley.com/journal/23788038

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