Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

하인두암의 경구강 레이저 수술

김성원1, 노용현1, 이강대1,*
Sung Won Kim1, Yong Hyeon No1, Kang Dae Lee1,*
1고신대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea
*교신저자: 이강대, 602-702 부산광역시 서구 암남동 34 고신대 학교 의과대학 이비인후과학교실 전화: (051) 990-6248·전송: (051) 245-8539 E-mail: kdlee@ns.kosinmed.or.kr

© Copyright 2011 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 02, 2011; Revised: Mar 04, 2011; Accepted: Apr 05, 2011

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Recently, organ-preserving transoral CO2 laser surgery have been introduced for hypopharyngeal cancer. The aim of this study was to define when CO2 laser surgery of hypopharyngeal cancer is indicated and to evaluate the oncologic local control rate, functional results, and postoperative complications. Subjects and Method: A retrospective review of 6 patients undergoing transoral CO2 laser microsurgery for the treatment of squamous cell carcinomas of the hypopharynx involving posterior pharyngeal wall (2 patients), pyriform sinus (4 patients) from May 2006 to December 2010 was undertaken. There were three patients with staging T3, underwent transoral CO2 laser surgery to remove residual cancer after the induction chemotherapy. The median follow-up interval was 32 months. Results: Five out of six cases showed no local recurrence. One patient with pyriform sinus cancer died with the local recurrence and lymph node metastasis, and local control rate during follow up was 83.3%. One patient died due to brain metastasis in the postoperative 24 months, other patient died due to second primary esophageal cancer in the postoperative 36 months. There were 2 cases of surgical complications; dysphagia due to temporary esophageal stricture and primary site’s bleeding. Conclusions ?Although more number of cases and time are needed, in some carefully selected cases of the early staging and advanced hypopharyngeal cancer after induction chemotherapy, transoral CO2 laser surgery can be one of the choice. (J Clinical Otolaryngol 2011;22:72–81)

Keywords: 하인두암; 레이저 수술
Keywords: Hypopharyngeal carcinoma; Laser surgery