Salvage transoral videolaryngoscopic surgery for post‐irradiation recurrence of hypopharyngeal carcinoma
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- Akihiro Sakai
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Koji Ebisumoto
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Hiroaki Iijima
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Mayu Yamauchi
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Takanobu Teramura
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Aritomo Yamazaki
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Takane Watanabe
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Toshihide Inagi
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Daisuke Maki
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
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- Kenji Okami
- Department of Otolaryngology, Head and Neck Surgery Tokai University, School of Medicine Isehara Japan
書誌事項
- 公開日
- 2023-04-26
- 資源種別
- journal article
- 権利情報
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- http://creativecommons.org/licenses/by-nc-nd/4.0/
- DOI
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- 10.1002/lio2.1068
- 公開者
- Wiley
この論文をさがす
説明
<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Transoral salvage surgery has the potential to preserve a patient's quality of life. Therefore, we investigated the outcomes, safety, and risk factors for postoperative complications of salvage transoral videolaryngoscopic surgery (TOVS) for recurrent hypopharyngeal carcinoma after radiotherapy (RT) or chemoradiotherapy (CRT).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This retrospective analysis enrolled patients with hypopharyngeal cancer who had a history of RT or CRT and underwent TOVS from January 2008 to June 2021. The factors related to postoperative complications, postoperative swallowing functions and survival rates were analyzed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Seven patients (36.8%) of the 19 patients developed complications. Severe dysphagia was the primary complication, and post‐cricoid resection was a complication risk factor. The FOSS score was significantly lower in the salvage treatment group. The survival rates were: 3‐year overall survival: 94.4%; disease‐specific survival: 94.4%; 5‐year overall survival: 62.3%; and disease‐specific survival: 86.6%.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Salvage TOVS for hypopharyngeal cancer was feasible, and oncologically and functionally reasonable.</jats:p><jats:p><jats:bold>Level of Evidence:</jats:bold> 2b.</jats:p></jats:sec>
収録刊行物
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- Laryngoscope Investigative Otolaryngology
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Laryngoscope Investigative Otolaryngology 8 (3), 667-674, 2023-04-26
Wiley
