Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (1): 63-66.doi: 10.6040/j.issn.1673-3770.0.2019.502

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Application of the hemi-tongue root flap for the repair of lateral defects in the pharyngeal cavity

YUE Jianlin, LIN Yun, JIANG Zhen, LI Xuexin, SUN Ruijie, PAN Xinliang, LIU Dayu   

  1. Department of Otolaryngology Head and Neck Surgery, Qilu Hospital of Shandong University, Qingdao 266035, Shandong, China
  • Published:2020-03-06

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Abstract: Objective To investigate the effect of repairing lateral defects of the pharyngeal cavity caused after resection of hypopharyngeal carcinoma by using the hemi-tongue flap. Methods A retrospective analysis was performed to evaluate 36 cases of hypopharyngeal carcinoma who had undergone complete tumor resection and were simultaneously treated for hypopharyngeal wall defects in the Qilu Hospital of Shandong University(Qingdao)from October 2014 to April 2016. The cohort included 29 cases of cancer of the piriform fossa and 7 cases of cancer of the posterior pharyngeal wall. The lateral pharyngeal wall was entirely invaded by the tumor. On performing a clinical staging, 3 cases were of stage Ⅱ, 7 of stage Ⅲ, 25 of stage ⅣA, and 1 of stage ⅣB. Three-year survival rate, postoperative complication rate, recovery of throat function, and retention of laryngeal function were analyzed. Results All cases had negative pathologic incisions, and all patients retained laryngeal function, with good swallowing and swallowing protective functions(the nasogastric feeding tube was removed 10 to 14 days after surgery, and oral feeding was smooth). Tracheal cannula was successfully removed in 34 patients, with a removal rate of 94.4%. Postoperative pharyngeal fistula occurred in 1 case, which was healed after short-term dressing, so the incidence of pharyngeal fistula was 2.8%. The above 36 patients had a 3-year survival rate of 69.4%. Conclusion The hemi-tongue root flap is close to the site of pathology, easy to maneuver, and leads to a lesser incidence of pharyngeal fistula. It fulfils the requirements of anatomical and functional reconstruction in the repair of lateral pharyngeal defects.

Key words: Hypopharyngeal carcinoma, Surgical treatment, Tongue flap, Repair, Tissue flap

CLC Number: 

  • R766.7
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