6.7.11: 11. Surgical Options for Hypopharyngeal Cancers
- Page ID
- 18395
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As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function
Surgical options include:
- Transoral endoscopic microsurgery (cold steel) or extended Bovie via Lindholm
- Transoral microscopic CO2 laser surgery
- TORS (Transoral robotic surgery)
- Suprahyoid approach and resection (page 9): May be considered to access and to resect high posterior wall hypopharyngeal tumours
- Lateral pharyngotomy
- Supracricoid laryngectomy (Requires swallowing therapy expertise)
- Total laryngectomy
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