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William M Mendenhall - One of the best experts on this subject based on the ideXlab platform.
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primary radiotherapy for squamous cell carcinoma of the Pyriform Sinus
European Archives of Oto-rhino-laryngology, 2016Co-Authors: William M Mendenhall, Robert J Amdur, Christopher G Morris, Jessica Kirwan, Peter T Dziegielewski, John W WerningAbstract:The objective of this study is to report the long-term outcomes of primary radiotherapy (RT) for patients with T1–T2 squamous cell carcinomas (SCC) of the Pyriform Sinus. Between November 1964 and March 2008, 135 patients with T1–T2 Pyriform Sinus SCC were treated with primary RT at the University of Florida. Adjuvant chemotherapy was employed in 21 patients (16 %) and 62 patients (46 %) underwent a planned neck dissection. Median follow-up was 3.5 years (range 0.2–24.7 years); median follow-up on living patients was 8.3 years (range 3.8–24.0 years). The 5-year outcomes were as follows: local control, 85 %; regional control, 81 %; local–regional control, 71 %; distant metastasis-free survival, 76 %; cause-specific survival, 62 %; and overall survival, 38 %. The 5-year local control rate was 88 % for T1 cancers and 84 % for those with T2 SCCs (p = 0.5429). Sixteen patients (12 %) experienced severe late complications. Primary RT results in a high probability of cure with a relatively modest risk of severe late complications for patients with T1–T2 SCCs of the Pyriform Sinus.
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definitive radiotherapy for t1 t2 squamous cell carcinoma of Pyriform Sinus
International Journal of Radiation Oncology Biology Physics, 2008Co-Authors: Anna Rabbani, Robert J Amdur, Christopher G Morris, Jessica Kirwan, John W Werning, Anthony A Mancuso, William M MendenhallAbstract:Purpose To report the long-term results after definitive radiotherapy (RT) for T1-T2 Pyriform Sinus squamous cell carcinoma. Patients and Methods The data from 123 patients with T1-T2 Pyriform Sinus squamous cell carcinoma treated with RT with or without neck dissection between November 1964 and June 2003 were analyzed. The median follow-up for all patients was 3.2 years, and the median follow-up for living patients was 10.7 years. Results The 5-year local control, locoregional control, freedom from distant metastasis, cause-specific survival, and overall survival rate was 85%, 70%, 75%, 61%, and 35%, respectively. The ultimate local control rate, including successful salvage of RT failure, for T1 and T2 cancer patients was 96% and 94%, respectively. The overall local control rate with a functional larynx was 83%. Pretreatment computed tomography tumor volume data were available for 55 patients. The median computed tomography tumor volume was 4.2 cm3 (range, 0–22.4). Local control was worse for patients with a tumor volume >6.5 cm3 compared with those with a smaller tumor volume. Of the 123 patients, 16% developed moderate to severe acute (2%), late (9%), or postoperative (5%) complications. Conclusions Local control with larynx preservation after definitive RT for T1-T2 Pyriform Sinus squamous cell carcinoma likely results in local control and survival similar to that after total laryngectomy or larynx-conserving surgery. Two-thirds of our living patients retained a functional larynx.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p = .021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p = .033). The local control rate was not influenced significantly by the presence of “minimal” apex disease (<10 mm in greatest dimensions as measured on CT) but decreased significantly when “bulk” apex disease (≥10 mm) was present (p = .027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT. © 1998 John Wiley & Sons, Inc. Head Neck20: 159–168, 1998.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Scientific assembly and annual meeting of the Radiological Society of North America, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background. This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods. Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results. There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p =.021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p =.033). The local control rate was not influenced significantly by the presence of minimal apex disease ( 10 mm) was present (p =.027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion. Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT.
Kwang Hyun Kim - One of the best experts on this subject based on the ideXlab platform.
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Neck Infection Associated with Pyriform Sinus Fistula: Imaging Findings
2015Co-Authors: Sun Won Park, Moon Hee Han, Myung Hoon Sung, In One Kim, Kwang Hyun Kim, Kee Hyun Chang, Man Chung HanAbstract:BACKGROUND AND PURPOSE: Acute suppurative neck infections associated with bran-chial fistulas are frequently recurrent. In this study, we describe the imaging findings of acute suppurative infection of the neck caused by a third or fourth branchial fistula (Pyriform Sinus fistula). METHODS: Imaging findings were reviewed in 17 patients (11 female and six male patients, 2 to 49 years old) with neck infection associated with Pyriform Sinus fistula. Surgery or laryn-goscopic examination confirmed the diagnoses. Fourteen patients had a history of recurrent neck infection and seven had cutaneous openings on the anterior portion of the neck (all lesions were on the left side). Imaging studies included barium esophagography (n 5 16), CT (n 5 14), MR imaging (n 5 2), and sonography (n 5 3). RESULTS: A Sinus or fistulous tract was identified in eight of 16 patients on barium eso-phagograms. In 14 patients, CT studies showed the inflammatory infiltration and/or abscess formation along the course of the Sinus or fistulous tract from the Pyriform fossa to the thyroid gland. In nine patients, CT scans showed the entire course or a part of the Sinus or fistulous tract as a tiny spot containing air. MR images showed a Sinus or fistulous tract in two patients
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chemocauterization of the internal opening with trichloroacetic acid as first line treatment for Pyriform Sinus fistula
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2013Co-Authors: Wonjae Cha, Sung Woo Cho, Hun J Hah, Tackkyun Kwon, Myungwhun Sung, Kwang Hyun KimAbstract:Background Pyriform Sinus fistula is a rare brachial pouch anomaly. However, it is difficult and risky to remove the fistula tract completely. Circumferential chemocauterization of the internal opening with trichloroacetic acid (TCA) for Pyriform Sinus fistula is simple, reproducible, reliable, and causes less morbidity. The aim of this study was to determine the feasibility of TCA chemocauterization for Pyriform Sinus fistula. Methods This retrospective study enrolled 44 patients who were diagnosed with Pyriform Sinus fistula and underwent TCA chemocauterization. We retrospectively reviewed the medical records of the patients to obtain their demography as well as treatment outcomes for them. Results The success rate of treatment for Pyriform Sinus fistula after the first TCA chemocauterization was 77.3% (34/44) and the cumulative success rate after the second treatment was 93.2% (41/44). There was no complication such as vocal fold palsy after TCA chemocauterization. Conclusions It is suggested that TCA chemocauterization can be a reasonable first-line treatment for Pyriform Sinus fistula. © 2012 Wiley Periodicals, Inc. Head Neck, 2013
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temporary vocal fold immobility after chemocauterization of the Pyriform Sinus fistula opening with trichloroacetic acid
Laryngoscope, 2013Co-Authors: Joo Hyun Park, Myungwhun Sung, Young Ho Jung, Kwang Hyun KimAbstract:Pyriform Sinus fistula (PSF) is a rare branchial pouch anomaly. Circumferential chemocauterization of the opening with trichloroacetic acid (TCA) is a simple, reliable treatment of choice with little morbidity. However, we experienced two cases of vocal fold immobility after chemocauterization of the PSF opening with TCA. Vocal fold mobility recovered spontaneously within 8 weeks in both cases. Herein, we report these cases in addition to a review of the literature.
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neck infection associated with Pyriform Sinus fistula imaging findings
American Journal of Neuroradiology, 2000Co-Authors: Sun Won Park, Moon Hee Han, Myung Hoon Sung, In One Kim, Kwang Hyun Kim, Kee Hyun Chang, Man Chung HanAbstract:BACKGROUND AND PURPOSE: Acute suppurative neck infections associated with branchial fistulas are frequently recurrent. In this study, we describe the imaging findings of acute suppurative infection of the neck caused by a third or fourth branchial fistula (Pyriform Sinus fistula). METHODS: Imaging findings were reviewed in 17 patients (11 female and six male patients, 2 to 49 years old) with neck infection associated with Pyriform Sinus fistula. Surgery or laryngoscopic examination confirmed the diagnoses. Fourteen patients had a history of recurrent neck infection and seven had cutaneous openings on the anterior portion of the neck (all lesions were on the left side). Imaging studies included barium esophagography (n = 16), CT (n = 14), MR imaging (n = 2), and sonography (n = 3). RESULTS: A Sinus or fistulous tract was identified in eight of 16 patients on barium esophagograms. In 14 patients, CT studies showed the inflammatory infiltration and/or abscess formation along the course of the Sinus or fistulous tract from the Pyriform fossa to the thyroid gland. In nine patients, CT scans showed the entire course or a part of the Sinus or fistulous tract as a tiny spot containing air. MR images showed a Sinus or fistulous tract in two patients, whereas sonograms could not depict a Sinus or fistulous tract in three patients. All 17 patients were treated with antibiotics. In one patient, the Sinus tract was surgically excised, while 15 patients underwent chemocauterization of the Sinus or fistulous tract with good outcome. Follow-up was possible for 16 of the 17 patients. CONCLUSION: When an inflammatory infiltration or abscess is present between the Pyriform fossa and the thyroid bed in the lower left part of the neck, an infected third or fourth branchial fistula should be strongly suspected.
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Pyriform Sinus fistula management with chemocauterization of the internal opening
Annals of Otology Rhinology and Laryngology, 2000Co-Authors: Kwang Hyun Kim, Myungwhun Sung, Tae Yong Koh, In Sang KimAbstract:A branchial remnant originating in the Pyriform Sinus causes a recurrent fistula or abscess in the neck. In spite of excision, recurrence may result from inadequate removal of the fistula tract. We attempted chemocauterization of the internal opening of the fistula tract with trichloroacetic acid (TCA) on direct endoscopy. This is a 6-year review of 18 patients with Pyriform Sinus fistula. Medical history, barium esophagography, computed tomography scans, operative findings, and treatment results were analyzed. By direct endoscopy, all patients were found to have a fistula opening in the Pyriform Sinus, exclusively on the left side. In only 9 patients, the fistula tract was identified by barium esophagography before operation. Computed tomography revealed a suspicious fistula tract originating from the Pyriform Sinus in 8 of 10 patients. Sixteen patients were initially managed by TCA chemocauterization. There were no serious intraoperative or postoperative complications. Four patients had recurrent masses, which were managed by simple excision in 2 patients and repeated TCA cauterization in the other 2 patients with unobliterated internal openings. We recommend barium swallow study and direct endoscopy for all patients presenting with a recurrent lateral neck abscess, especially on the left side. Our results suggest that initial chemocauterization of the internal opening can be a reasonable alternative procedure for the management of Pyriform Sinus fistula.
Anthony A Mancuso - One of the best experts on this subject based on the ideXlab platform.
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definitive radiotherapy for t1 t2 squamous cell carcinoma of Pyriform Sinus
International Journal of Radiation Oncology Biology Physics, 2008Co-Authors: Anna Rabbani, Robert J Amdur, Christopher G Morris, Jessica Kirwan, John W Werning, Anthony A Mancuso, William M MendenhallAbstract:Purpose To report the long-term results after definitive radiotherapy (RT) for T1-T2 Pyriform Sinus squamous cell carcinoma. Patients and Methods The data from 123 patients with T1-T2 Pyriform Sinus squamous cell carcinoma treated with RT with or without neck dissection between November 1964 and June 2003 were analyzed. The median follow-up for all patients was 3.2 years, and the median follow-up for living patients was 10.7 years. Results The 5-year local control, locoregional control, freedom from distant metastasis, cause-specific survival, and overall survival rate was 85%, 70%, 75%, 61%, and 35%, respectively. The ultimate local control rate, including successful salvage of RT failure, for T1 and T2 cancer patients was 96% and 94%, respectively. The overall local control rate with a functional larynx was 83%. Pretreatment computed tomography tumor volume data were available for 55 patients. The median computed tomography tumor volume was 4.2 cm3 (range, 0–22.4). Local control was worse for patients with a tumor volume >6.5 cm3 compared with those with a smaller tumor volume. Of the 123 patients, 16% developed moderate to severe acute (2%), late (9%), or postoperative (5%) complications. Conclusions Local control with larynx preservation after definitive RT for T1-T2 Pyriform Sinus squamous cell carcinoma likely results in local control and survival similar to that after total laryngectomy or larynx-conserving surgery. Two-thirds of our living patients retained a functional larynx.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p = .021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p = .033). The local control rate was not influenced significantly by the presence of “minimal” apex disease (<10 mm in greatest dimensions as measured on CT) but decreased significantly when “bulk” apex disease (≥10 mm) was present (p = .027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT. © 1998 John Wiley & Sons, Inc. Head Neck20: 159–168, 1998.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Scientific assembly and annual meeting of the Radiological Society of North America, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background. This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods. Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results. There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p =.021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p =.033). The local control rate was not influenced significantly by the presence of minimal apex disease ( 10 mm) was present (p =.027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion. Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT.
Paul Kubilis - One of the best experts on this subject based on the ideXlab platform.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p = .021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p = .033). The local control rate was not influenced significantly by the presence of “minimal” apex disease (<10 mm in greatest dimensions as measured on CT) but decreased significantly when “bulk” apex disease (≥10 mm) was present (p = .027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT. © 1998 John Wiley & Sons, Inc. Head Neck20: 159–168, 1998.
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evaluation of pretreatment computed tomography as a predictor of local control in t1 t2 Pyriform Sinus carcinoma treated with definitive radiotherapy
Scientific assembly and annual meeting of the Radiological Society of North America, 1998Co-Authors: Frank A Pameijer, William M Mendenhall, Anthony A Mancuso, James T Parsons, Suresh K Mukherji, Robert Hermans, Paul KubilisAbstract:Background. This study was undertaken to determine whether pretreatment computed tomography (CT) findings can predict local control in Pyriform Sinus carcinoma treated with definitive radiotherapy (RT). Methods. Twenty-three patients with Pyriform Sinus carcinoma (T1: n = 5; T2: n = 18) were treated with high-dose RT and followed for a minimum of 2 years. Tumor volumes and extent were determined on pretreatment CT studies. The specific CT parameters assessed were analyzed as predictors of local control. Results. There was a significant decrease in local control rate for tumors over 6.5 mL (1 of 4 [25%]) relative to tumors under 6.5 mL (17 of 19 [89%]; p =.021). Sensitivity and specificity for local control using this cutoff were 94% and 60%, respectively. Tumor score, as a measure of anatomic extent, was also found to be a significant predictor of local control (p =.033). The local control rate was not influenced significantly by the presence of minimal apex disease ( 10 mm) was present (p =.027). Laryngeal cartilage sclerosis was not a significant predictor of outcome. Conclusion. Computed tomography can stratify Pyriform Sinus carcinomas into groups more or less likely to be locally controlled with definitive RT.
Ollivier Laccourreye - One of the best experts on this subject based on the ideXlab platform.
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Resection of selected invasive squamous cell carcinoma of the Pyriform Sinus by means of the lateral pharyngotomy approach: the partial lateral pharyngectomy.
Head & neck, 2006Co-Authors: F. Christopher Holsinger, Mehdi Motamed, Dominique Garcia, Daniel Brasnu, Madeleine Ménard, Ollivier LaccourreyeAbstract:Background. Although the lateral pharyngotomy is a well-known surgical procedure, to our knowledge, no pub- lished reports have described the results achieved with a lateral pharyngectomy approach in patients with isolated and previ- ously untreated selected invasive squamous cell carcinoma of the lateral wall of the Pyriform Sinus. Methods. The medical files and operative charts of 30 patients with an isolated, and previously untreated, squamous cell carcinoma of the Pyriform Sinus, treated for cure by lateral partial pharyngectomy and primary closure, as well as postoper- ative radiotherapy (n ¼ 22), and preoperative chemotherapy (n ¼ 8), were retrospectively studied. Sixteen tumors were clas- sified as T1 and 14 as T2. All patients but one were followed until death. Results. Three patients (9%) died in the immediate postoper- ative period (two from medical complications and one from a surgery-related complication). Overall, 29 patients died, result- ing in a 77.7%, 40%, 23.3%, and 15% 1-, 3-, 5- and 10-year Kaplan-Meier actuarial survival estimate, respectively. Only one patient had a serious postoperative complication develop. All patients were decannulated. No patients required a gastrostomy and/or completion total laryngectomy for functional reasons. Local recurrence occurred in four patients (13%). The 3- and 5- year Kaplan-Meier actuarial local control estimates were 88.5% and 79.6%, respectively. The use of a platin-based induction chemotherapy (p ¼ .05) regimen was the only variable that was significantly statistically related to local recurrence. Overall, a 93.3% laryngeal preservation rate was achieved. Conclusion. Partial pharyngectomy by means of the lateral pharyngotomy combined with postoperative radiation therapy is an efficient and function-sparing approach to control selected invasive squamous cell carcinomas of the lateral wall of the Pyriform Sinus. V C 2006 Wiley Periodicals, Inc. Head Neck 28: 705-711, 2006
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supracricoid hemilaryngopharyngectomy in patients with invasive squamous cell carcinoma of the Pyriform Sinus part ii incidence and consequences of local recurrence
Annals of Otology Rhinology and Laryngology, 2005Co-Authors: Romain Kama, Dominique Garcia, Daniel Brasnu, Stephane Hans, Erwan De Mones, Ollivier LaccourreyeAbstract:Supracricoid hemilaryngopharyngectomy (SCHLP) was performed in 147 patients over a 19-year period for previously untreated invasive squamous cell carcinoma of the Pyriform Sinus. With a minimum of ...
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supracricoid hemilaryngopharyngectomy in selected Pyriform Sinus carcinoma staged as t2
Laryngoscope, 1993Co-Authors: Ollivier Laccourreye, Daniel Brasnu, Agnes Meritedrancy, E Chabardes, Regis Cauchois, M Menard, H LaccourreyeAbstract:From 1964 to 1985 supracricoid hemilaryngo-pharyngectomy (SCHLP) was performed at the authors' institution for 34 selected Pyriform Sinus carcinomas staged as T2. Tumors involved the anterior part of the Pyriform Sinus, the lateral wall, the medial wall, and the whole aryepiglottic fold in all cases. Tumors with invasion of the apex of the Pyriform Sinus, of the retrocricoid region, of the posterior pharyngeal wall, or with fixation of the true vocal cord were excluded from the study. Such a technique was aimed at preserving physiologic phonation, respiration, and swallowing while achieving the same local control rate as pharyngolaryngectomy. Patients were monitored for at least 6 years or until death. No patients were lost to follow-up. The 5-year cause-specific survival rate was 55.8%. The main cause of death was second primary tumor. The 5-year actuarial local recurrence rate was 3.4%. The authors' experience with the SCHLP technique challenges the traditional teaching of pharyngolaryngectomy and establishes this technique as a safe method of voice preservation in selected cases of Pyriform Sinus carcinomas.
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supracricoid hemilaryngopharyngectomy in selected Pyriform Sinus carcinoma staged as t2
International conference head neck cancer, 1993Co-Authors: Ollivier Laccourreye, Daniel Brasnu, Agnes Meritedrancy, E Chabardes, Regis Cauchois, M Menard, H LaccourreyeAbstract:From 1964 to 1985 supracricoid hemilaryngopharyngectomy (SCHLP) was performed at the authors' institution for 34 selected Pyriform Sinus carcinomas staged as T2. Tumors involved the anterior part of the Pyriform Sinus, the lateral wall, the medial wall, and the whole aryepiglottic fold in all cases. Tumors with invasion of the apex of the Pyriform Sinus, of the retrocricoid region, of the posterior pharyngeal wall, or with fixation of the true vocal cord were excluded from the study. Such a technique was aimed at preserving physiologic phonation, respiration, and swallowing while achieving the same local control rate as pharyngolaryngectomy. Patients were monitored for at least 6 years or until death
