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BMC Surgery
Published in: BMC Surgery 1/2021

Open Access 01-12-2021 | Hypopharyngeal Cancer | Research article

A novel surgical approach for hypopharyngeal carcinoma resection via the paraglottic space

Authors: Wenming Li, Dongmin Wei, Ye Qian, Shengda Cao, Dayu Liu, Dapeng Lei, Xinliang Pan

Published in: BMC Surgery | Issue 1/2021

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Abstract

Background

Conservative surgery has proven advantageous in controlling hypopharyngeal squamous cell carcinoma (HSCC) and preserving speech and swallowing function in carefully selected patients, typically with early T-stages diseases. A variety of modified surgical procedures or techniques have been proposed.

Methods

In this study, we present a novel surgical approach for hypopharyngeal carcinoma resection utilizing the paraglottic space.

Results

The paraglottic space approach can help expose neoplasms under direct vision and save mucosa during surgery while sufficiently preserving laryngeal function, thus benefiting postoperative swallowing and reducing complications. A large cohort of 426 patients with HSCC underwent surgical treatment at our institution using this approach, demonstrating an overall survival (OS) rate of 52.3% and low incidences of postoperative complications.

Conclusions

This surgical approach can be applied in patients with the lesions that do not involve the paraglottic space.
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Metadata
Title
A novel surgical approach for hypopharyngeal carcinoma resection via the paraglottic space
Authors
Wenming Li
Dongmin Wei
Ye Qian
Shengda Cao
Dayu Liu
Dapeng Lei
Xinliang Pan
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2021
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-021-01223-1

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