This study was supported in part by Association Progrès 2000 (Paris, France).
Head and Neck
Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx—part I: How
Version of Record online: 8 JUL 2013
Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 123, Issue 11, pages 2712–2717, November 2013
How to Cite
Laccourreye, O., Benito, J., Menard, M., Garcia, D., Malinvaud, D. and Holsinger, C. (2013), Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx—part I: How. The Laryngoscope, 123: 2712–2717. doi: 10.1002/lary.24161
The authors have no other funding, financial relationships, or conflicts of interest to disclose.
- Issue online: 28 OCT 2013
- Version of Record online: 8 JUL 2013
- Manuscript Accepted: 26 MAR 2013
- Manuscript Revised: 6 MAR 2013
- Manuscript Received: 25 SEP 2012
To revisit the surgical technique of lateral pharyngotomy in patients with selected, isolated, and untreated invasive squamous cell carcinoma of the lateral oropharynx. To describe postoperative management, complications, and functional outcomes.
Retrospective review from a French university teaching hospital.
Ninety-one patients consecutively underwent lateral pharyngotomy for selected T1–T4 squamous cell carcinoma of the lateral oropharynx.
Of the patients, 73.6% and 98.9% experienced an uncomplicated surgical and medical postoperative course, respectively. There were no intraoperative deaths, but a single patient died in the immediate postoperative period from carotid rupture following salivary oropharyngeal fistula. The most common significant complications were severe postoperative swallowing impairment, pneumonia from aspiration, and salivary oropharyngeal fistula noted in 6.5%, 4.3%, and 4.3% of cases, respectively. In univariate analysis, none of the variables under analysis was related to the various significant complications noted and/or to immediate postoperative death. No patient had a permanent tracheotomy, whereas one had a permanent gastrostomy. Of the patients in whom a full course of radiation therapy was delivered postoperatively, 13.6% developed a major complication.
From a functional point of view, lateral pharyngotomy is a safe, reliable surgery with few major complications and might be considered a valuable alternative to chemoradiation and/or mandibulotomy for selected tumors of the lateral oropharynx.
Level of Evidence
4 Laryngoscope, 123:2712–2717, 2013