Larynx preservation surgery for advanced XXXX with free flap reconstruction: a critical appraisal.

@entity1 @entity970 @entity189 @entity5772
To report the functional and oncologic results of larynx preservation surgery with free flap reconstruction for @entity189 . Retrospective medical chart review. Tertiary care referral center. We present a series of seven @entity1 , who were treated for an advanced stage @entity189 between 1995 and 1998. All @entity1 underwent posterior pharyngectomy with larynx preservation via a suprahyoidal approach for @entity189 of the posterior pharyngeal wall, with radial forearm free flap reconstruction. Complications occurred in three @entity1 with grade 3 comorbidity, one of whom suffered flap loss. After a mean follow-up of 48 months, three @entity1 are alive without disease. One @entity1 is alive with a second primary @entity5772 . Two @entity1 died of disease, whereas one @entity1 died of another cause. All @entity1 could be decannulated and maintain their voice. Six out of seven @entity1 were able to take oral nutrition, although four @entity1 needed additional @entity970 -tube feeding. Posterior pharyngectomy with larynx preservation and radial forearm free flap reconstruction is feasible in selected @entity1 , with acceptable functional results and survival. However, the @entity1 must be aware of the risk of chronic aspiration and the possibility of long-term @entity970 feedings.
