A MODIFIED LATERAL PHARYNGOTOMY APPROACH IN OROPHARYNGEAL CANCER SURGERY
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Abstract
Objectives: To evaluate the effectiveness of the lateral pharyngotomy (LA) approach and the status and initial outcomes of oropharyngeal cancer surgery via cervical approach. Methods: A case series study was conducted on 10 patients with oropharyngeal cancer who were treated using the LA approach at the Department of Head and Neck Surgery - Otorhinolaryngology, Ho Chi Minh City Oncology Hospital between January 2021 and February 2025. Results: Patients underwent wide surgical resection of the oropharyngeal tumor and invasive tissue with or without immediate reconstruction using a musculocutaneous flap. All patients experienced no severe postoperative complications, achieved good recovery of swallowing function after surgery, and showed no recurrence. Conclusion: Oropharyngeal cancer surgery using the LP approach can be used to achieve good functional outcomes while ensuring radical resection in patients with advanced or recurrent oropharyngeal cancer.
Keywords
Lateral pharyngotomy approach, Oropharyngeal defects, Oropharyngeal squamous cell carcinoma
Article Details
References
2. List MA, Ritter-Sterr C, Lansky SB. A performance status scale for head and neck cancer patients. Cancer. 1990; 66(3):549-564.
3. Holsinger FC, Laccourreye O, Weber RS. Surgical approaches for cancer of the oropharynx. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2005; 16:40-48.
4. Trotter W. Operations for malignant disease of the pharynx. British Journal of Surgery. 1929; 16(63):485-495.
5. Laccourreye O, Villeneuve A, Rubin F, Holsinger FC. Lateral pharyngotomy. Eur Ann Otorhinolaryngol Head Neck Dis. 2019; 136(2):135-140.
6. Byers RM. Anatomic correlates in head and neck surgery. The lateral pharyngotomy. Head Neck. 1994; 16(5):460-462.
7. Cocek A, Průcha I, Hahn A. Lateral pharyngotomy extend by resection of the mandibular angle-an alternative approach to the surgical treatment of oropharyngeal (tonsillar) cancers. Acta Otolaryngol. 2009; 129(3):318-323.
8. Laccourreye O, Benito J, Menard M, Garcia D, Malinvaud D, Holsinger C. Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx. Part I: How. Laryngoscope. 2013; 123(11):2712-2717.
9. Laccourreye O, Benito J, Garcia D, Menard M, Bonfils P, Holsinger C. Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx. Part II: When and why. Laryngoscope. 2013; 123(11):2718-2722.
10. Masuda M, Fukushima J, Kadota H, Kamizono K, Ejima M, Taura M. Mandible preserving pull-through oropharyngectomy for advanced oropharyngeal cancer: A pilot study. Auris Nasus Larynx. 2011; 38(3):392-397.