TY - JOUR
T1 - Un nuovo approccio latero-cervicale per la faringo-laringectomia totale di recupero
AU - Spriano, G.
AU - Mercante, G.
AU - Manciocco, V.
AU - Cristalli, G.
AU - Sanguineti, G.
AU - Ferreli, F.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Total laryngectomy with subtotal pharyngectomy is the standard treatment of persistent/recurrent laryngeal and/or pharyngeal cancer. Salvage surgery can be complicated by pharyngo-cutaneous fistula because of previous treatment. The aim of this paper was to verify the feasibility of salvage total laryngectomy with subtotal pharyngectomy with a minimally invasive technique through a lateral cervical approach using the same skin incision used for resection of primary, synchronous neck dissection and pharyngeal flap reconstruction. This approach allowed harvesting of the anterior-myocutaneous flap including skin, subcutaneous tissue, platysma, anterior jugular veins, sterno- and homohyoid muscle in order to preserve as much tissue not involved by the tumour as possible. This technique is feasible and safe; further studies should confirm its advantages in terms of reduction of complications.
AB - Total laryngectomy with subtotal pharyngectomy is the standard treatment of persistent/recurrent laryngeal and/or pharyngeal cancer. Salvage surgery can be complicated by pharyngo-cutaneous fistula because of previous treatment. The aim of this paper was to verify the feasibility of salvage total laryngectomy with subtotal pharyngectomy with a minimally invasive technique through a lateral cervical approach using the same skin incision used for resection of primary, synchronous neck dissection and pharyngeal flap reconstruction. This approach allowed harvesting of the anterior-myocutaneous flap including skin, subcutaneous tissue, platysma, anterior jugular veins, sterno- and homohyoid muscle in order to preserve as much tissue not involved by the tumour as possible. This technique is feasible and safe; further studies should confirm its advantages in terms of reduction of complications.
KW - Cancer
KW - Cervical approach
KW - Larynx
KW - Recurrent laryngeal cancer
KW - Salvage total laryngectomy
UR - http://www.scopus.com/inward/record.url?scp=85064194573&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064194573&partnerID=8YFLogxK
U2 - 10.14639/0392-100X-1753
DO - 10.14639/0392-100X-1753
M3 - Articolo
C2 - 30936580
AN - SCOPUS:85064194573
VL - 39
SP - 61
EP - 64
JO - Acta Otorhinolaryngologica Italica
JF - Acta Otorhinolaryngologica Italica
SN - 0392-100X
IS - 1
ER -