Ileocolic free flap reconstruction, concomitant chemotherapy and radiotherapy and assessment of speech and swallowing function during management of advanced cancer of the larynx and hypopharynx: preliminary report.
CONCLUSION: The new technique of ileocolic free flap reconstruction provides a better quality of life in terms of swallowing and speech for patients who have undergone laryngopharyngectomy with concomitant chemotherapy and radiotherapy (CCRT). OBJECTIVES: To compare and contrast the swallowing and s...
| Publicado en: | Acta Oto-Laryngologica Vol. 125; no. 6; pp. 642 - 647 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2005
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106313101&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106313101 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: Jun2005 vid: 125 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106313101 2009234414 10.1080/00016480510027457 NLM16076714 106313101 ppf: 642 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Ileocolic free flap reconstruction, concomitant chemotherapy and radiotherapy and assessment of speech and swallowing function during management of advanced cancer of the larynx and hypopharynx: preliminary report. aug: au: Leu Y Hsiao H Chang Y Yang C Lee J Chen Y affil: The Department of Otolaryngology-Head & Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan. lys@ms2.mmh.org.tw sug: subj: Deglutition Physiology Laryngeal Neoplasms Surgery Neoadjuvant Therapy Pharyngeal Neoplasms Surgery Speech Physiology Surgical Flaps Adult Antineoplastic Agents Therapeutic Use Carcinoma, Squamous Cell Radiotherapy Carcinoma, Squamous Cell Surgery Colon Transplantation Comparative Studies Descriptive Statistics Ileum Transplantation Laryngeal Neoplasms Radiotherapy Laryngectomy Rehabilitation Male Middle Age Neoplasm Recurrence, Local Pathology Pharyngeal Neoplasms Radiography Pharyngectomy Rehabilitation Prospective Studies Quality of Life Surgery, Reconstructive Methods Survival Treatment Outcomes Human Adult: 19-44 years Middle Aged: 45-64 years Male ab: CONCLUSION: The new technique of ileocolic free flap reconstruction provides a better quality of life in terms of swallowing and speech for patients who have undergone laryngopharyngectomy with concomitant chemotherapy and radiotherapy (CCRT). OBJECTIVES: To compare and contrast the swallowing and speech outcomes of patients who underwent total laryngopharyngectomy with ileocolic free flap reconstruction and to analyze the survival rate after surgery and CCRT. MATERIAL AND METHODS: This was a follow-up study of 12 patients with advanced (stages III, IVA and IVB) laryngeal and hypopharyngeal cancer who underwent major surgery, CCRT (with one exception) and ileocolic free flap reconstruction. RESULTS: All patients were able to tolerate single-stage combined management comprising total laryngopharyngectomy with or without radical neck dissection plus ileocolic free flap reconstruction and postoperative CCRT (with one exception), without immediate morbidity or mortality. Eleven patients were diagnosed with hypopharyngeal cancer and one with laryngeal cancer. The mean interval between surgery and CCRT was 34.1 days. The mean follow-up period was 16.5 months. Four patients died during the follow-up period as a result of local recurrence (n=2), distant metastasis (n=1) and suicide (n=1). One patient was alive with disease despite neck recurrence. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|