Abstract
Background
Metachronous tumour in head and neck cancer patients is a frequent situation with a generally poor prognosis, often improving in case of surgical treatment.
Method
This article presents the surgical technique for early stage hypopharyngeal metachronous tumour resection and pharyngeal reconstruction by tubed free flap in laryngectomised patient.
Conclusion
Selected laryngectomised patients presenting with early stage hypopharyngeal metachronous tumours can benefit from a safe carcinologic resection and reconstruction.
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References
Coca-Pelaz A, Rodrigo JP, Suárez C, Nixon IJ, Mäkitie A, Sanabria A et al (2019) The risk of second primary tumors in head and neck cancer: a systematic review. Head Neck. 42:456–466
Chen JH, Yen YC, Chen TM, Yuan KSP, Lee FP, Lin KC et al (2017) Survival prognostic factors for metachronous second primary head and neck squamous cell carcinoma. Cancer Med. 6(1):142–153
Chang JH, Wu CC, Yuan KSP, Wu ATH, Wu SY (2017) Locoregionally recurrent head and neck squamous cell carcinoma: incidence, survival, prognostic factors, and treatment outcomes. Oncotarget. 8(33):55600–55612
Yousem DM, Gad K, Tufano RP (2006) Resectability issues with head and neck cancer. Am J Neuroradiol 27(10):2024–2036
Marsh DJ, Chana JS (2010) Reconstruction of very large defects: a novel application of the double skin paddle anterolateral thigh flap design provides for primary donor-site closure. J Plast Reconstr Aesthetic Surg JPRAS 63(1):120–125
Chaput B, Vergez S, Somda S, Mojallal A, Riot S, Vairel B et al (2016) Comparison of single and double venous anastomoses in head and neck oncologic reconstruction using free flaps: a meta-analysis. Plast Reconstr Surg 137(5):1583–1594
Imre A, Pinar E, Erdoğan N, Ece AA, Olgun Y, Aladag I et al (2015) Prevertebral space invasion in head and neck cancer: negative predictive value of imaging techniques. Ann Otol Rhinol Laryngol 124(5):378–383
Orlandi E, Bonomo P, Ferella L, D’Angelo E, Maddalo M, Alterio D et al (2019) Long-term outcome of re-irradiation for recurrent or second primary head and neck cancer: a multi-institutional study of AIRO-Head and Neck working group. Head Neck 41(10):3684–3692
Vargo JA, Ward MC, Caudell JJ, Riaz N, Dunlap NE, Isrow D et al (2018) A Multi-institutional Comparison of SBRT and IMRT for Definitive Reirradiation of Recurrent or Second Primary Head and Neck Cancer. Int J Radiat Oncol Biol Phys. 100(3):595–605
Yu P (2004) Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction. Head Neck 26(9):759–769
Nagel TH, Hayden RE (2014) Advantages and limitations of free and pedicled flaps in reconstruction of pharyngoesophageal defects. Curr Opin Otolaryngol Head Neck Surg 22(5):407–413
Yokoshima K, Nakamizo M, Kokawa T, Inai S, Sakanushi A, Saito Y et al (2011) Three cases of carcinoma of the hypopharynx developing as metachronous second primary cancers after total laryngectomy with radiotherapy for carcinoma of the larynx. J Nippon Med Sch Nippon Ika Daigaku Zasshi 78(4):261–266
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Chabrillac, E., Chaput, B. & Vergez, S. Circumferential pharyngectomy in laryngectomised patient and pharyngeal reconstruction by tubed free flap. Eur Arch Otorhinolaryngol 277, 2641–2645 (2020). https://doi.org/10.1007/s00405-020-06056-x
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DOI: https://doi.org/10.1007/s00405-020-06056-x