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11. Surgical Options for Hypopharyngeal Cancers

  • Page ID
    18395
  • As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function

    Surgical options include:

    Type of surgery depends on

    • Tumour factors
      • Site
      • Cartilage invasion
      • Stage
    • Prior therapy
      • Radiation
      • Partial pharyngectomy
    • Patient factors
      • Pulmonary status (tolerate aspiration)
      • Fitness, age
      • Nutritional status
      • Cognitive status (To work with Speech and Language Therapist)
    • Institutional support
      • Surgical expertise
      • Availability of CO2 laser / transoral microsurgery / TORS
      • Speech and swallowing support
      • Tracheoesophageal speaking valves
      • Oesophagectomy, gastric pull-up, PEG