Near-total laryngopharyngectomy with pectoralis major myocutaneous flap in advanced pyriform carcinoma

Chih Ying Su

Research output: Contribution to journalJournal Article peer-review

18 Scopus citations


Successful restoration of phonation, as well as swallowing in laryngopharyngeal surgery for patients with advanced pyriform carcinoma still remains a major challenge. In a five-year period, near-total laryngectomy operations were performed on 21 patients with laryngopharyngeal carcinoma. This report particularly emphasizes the value of near-total laryngopharyngectomy with a pectoralis major myocutaneous flap for four extensive hypopharyngeal carcinoma cases (three of which were of pyriform origin). All four patients regained intelligible shunt speech and smooth swallowing. The follow-up period ranged from 19 to 44 months. They have had no recurrence of disease since surgery. The authors suggest that an advanced pyriform carcinoma case, with a normal contralateral hemilarynx and pyriform sinus, is a candidate for a near-total excision of the laryngopharynx.

Original languageEnglish
Pages (from-to)817-820
Number of pages4
JournalJournal of Laryngology and Otology
Issue number9
StatePublished - 09 1993
Externally publishedYes


  • Laryngeal neoplasms
  • Laryngectomy
  • Pharyngeal neoplasms
  • Surgical flaps
  • near-total
  • pectoralis major myocutane-ous


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