Surgical Salvage of Recurrent Cancer of the Head and Neck

Mark Zafereo1
1Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, USA

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Tài liệu tham khảo

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Sperry SM, Rassekh CH, Laccourreye O, Weinstein GS. Supracricoid partial laryngectomy for primary and recurrent laryngeal cancer. JAMA Otolaryngol Head Neck Surg. 2013;139(11):1226–35. This article reports outcomes for 42 patients with laryngeal squamous cell carcinoma who were treated between 1992 and 2010 with supracricoid partial laryngectomy after previous radiation. Five-year local control with organ preservation was 89%, but 8 patients (19%) ultimately required total laryngectomy. It is important to note that even in a high-volume center, only approximately 2 patients per year were treated with this approach.

Gilbert RW, Goldstein DP, Guillemaud JP, Patel RS, Higgins KM, Enepekides DJ. Vertical partial laryngectomy with temporoparietal free flap reconstruction for recurrent laryngeal squamous cell carcinoma: technique and long-term outcomes. Arch Otolaryngol Head Neck Surg. 2012;138(5):484–91. This article reports technique and long-term outcomes for 40 patients treated with vertical partial laryngectomy with temporoparietal free flap reconstruction for recurrent laryngeal squamous cell carcinoma between 1995 and 2010. Five-year overall survival was 69%, and patients had only mild impairment on standardized speech, swallowing, and quality-of-life outcomes tests.

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