Abstract

  In patients with head and neck cancer, dysphagia may be primarily sourced from invasion or extension of the mass or following surgical therapeutic intervention for removing tumor. With respect to the origin of dysphagia, it can occur following the extension of malignancies in the head and neck region. Herein, we describe a case with a primary compliant of dysphagia alone with the final diagnosis of primary retropharyngeal squamous cell carcinoma that was successfully managed by surgical intervention. In total, in our case study we can be concluded that if the examinations, imaging and examinations during the operation show that the retropharyngeal mass did not involve the larynx and posterior cricoid cartilage, we will be able to preserve the larynx during the operation. So, it can recovery the major symptom (dysphagia) as well as preserve faction of larynx, voice and ability to oral nutrition.

Keywords: Total Pharyngectomy; Gastric Pull-Up; Larynx; Tracheostomy; Posterior Cricoid Cartilage

References

1. Logemann JA. “Swallowing disorders”. Best Practice and Research: Clinical Gastroenterology 21 (2007): 563-573.
2. Cheng S., et al. "Variables associated with feeding tube placement in patients with head and neck cancer". Archives of Otolaryngology - Head and Neck Surgery 132 (2006): 655-661.
3. Nazareno J., et al. “Metastatic breast cancer to the gastrointestinal tract: a case series and review of the literature”. World Journal of Gastroenterology 12 (2006): 6219-6224.
4. Varsamidakis N., et al. “Dysphagia as the presenting symptom of thyroid cancer”. Experimental and Clinical Endocrinology and Diabetes 117 (2009): 511-513.
5. Almeida JP., et al. “Late side effects of radioactive iodine on salivary gland function in patients with thyroid cancer”. Head Neck 5 (2011): 686-690.
6. Marks JE., et al. “The National Cancer Data Base report on the relationship of race and national origin to the histology of nasopharyngeal carcinoma”. Cancer 83 (1998):582-588.
7. Chow E., et al. “Enhanced control by radiotherapy of cervical lymph node metastases arising from nasopharyngeal carcinoma compared with nodal metastases from other head and neck squamous cell carcinomas”. International Journal of Radiation Oncology Biology Physics 39 (1997): 149-154.
8. Dirix P., et al. “Prognostic influence of retropharyngeal lymph node metastasis in squamous cell carcinoma of the oropharynx”. International Journal of Radiation Oncology Biology Physics 65 (2006): 739-744.
9. Shimizu K., et al. “Distribution and impact of lymph node metastases in oropharyngeal cancer”. Acta Oto-Laryngologica 126 (2006): 872-877.
10. Yoshimoto S., et al. “Treatment results for 84 patients with base of tongue cancer”. Acta Oto-Laryngologica 127 (2007): 123-128.
11. Du C., et al. “Treatment for retropharyngeal metastatic undifferentiated squamous cell carcinoma from an unknown primary site: results of a prospective study with irradiation to nasopharyngeal mucosa plus bilateral neck”. Oncotarget 26 (2017): 42372-42381.

Citation

Citation: Amitis Nozari. “Total Pharyngectomy and Gastric Pull-Up Reconstruction with Laryngeal Preservation". Acta Scientific Otolaryngology 2.10 (2020): 44-46.

Copyright

Copyright: © 2020 Amitis Nozari. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.