“End to Side Technique”: More organ preservation with less morbidity in patients with pyriform sinus apex SCC

Ahmadi, Aslan; Sanaei, Ayda; Jan, Delaram

doi:10.1016/j.amjoto.2020.102505

Cited by 1 publication

(2 citation statements)

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“…In our previous study [28], we described a new "End to side" reconstruction technique in patients with SCC of pyriform sinus apex. 8 patients (stage III HSCC) underwent partial pharyngectomy, and the mass was resected with a convenient margin while the esophagus was preserved.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, few articles focus on the larynx-preserving pharyngectomy approach as a primary treatment of HPSCC, and most of them performed total pharyngectomy or included cases with early tumors [24][25][26][27]. In our previous study, we described a new technique called "End to side" in patients with the SCC of the pyriform sinus apex undergoing partial pharyngectomy with good short-term and long-term results, in which we advanced and sutured the whole circumference of the mucosal part of esophageal inlet to cover pharyngeal wall defect to avoid postoperative stricture or dysphagia [28]. In this case report, we present the result of using this innovative technique to reconstruct hypopharyngeal defect with the rolled supraclavicular flap after laryngeal-preserving partial pharyngectomy.…”

Section: Introductionmentioning

confidence: 99%

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Use of Supraclavicular Flap by End to Side Technique in Pharyngeal SCC: A Case Report and Review of Literature

Ahmadi

Sanaei

Jan

et al. 2021

Case Reports in Otolaryngology

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Objectives. In recent years, conservation laryngeal surgeries, including partial pharyngectomy, have been introduced as an alternative procedure for selected cases of hypopharyngeal squamous cell carcinoma (HSCC). Reconstruction of these defects presents a considerable challenge for the surgeon after partial pharyngectomy due to its circumferential nature. In this case report, we represent the innovative “End to side” technique to reconstruct hypopharyngeal defect using the rolled supraclavicular flap after laryngeal-preserving partial pharyngectomy. Methods and Results. A 70-year-old female presented with a history of progressive dysphagia and odynophagia. The evaluations revealed a T3N0M0 SCC of pyriform sinus. The mass was successfully resected through partial pharyngectomy, and the hypopharyngeal defect reconstruction was achieved using the rolled supraclavicular flap via the “End to side” technique. The patient was discharged after decannulation on day 10. The 3-week barium swallow was performed with no evidence of anastomotic leakage, and the oral feeding was started after NG tube removal. At week 5, complete movement of the true vocal cord on the one side and good phonation and deglutition was observed. There was no evidence of recurrence after 1 year. Conclusions. Laryngeal-preserving partial pharyngectomy and hypopharyngeal reconstruction with the rolled supraclavicular flap via the “End to side” technique could lead to good oncological and functional outcomes in selected cases of pyriform sinus.

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Section: Discussionmentioning

confidence: 99%