頭頸部癌治療における再建外科の進歩

概要

論文の詳細を見る
Since 1985, a new one-stage reconstructive procedure involving a PM-MC or free forearm flap has been used in the management of oropharyngeal and hypopharyngeal carcinomas.<BR>These new reconstructive procedures provide not only a new gullet but also allow for wide surgical margins, the latter helping to reduce local treatment failures.<BR>A retrospective analysis of oropharyngeal carcinoma therapy s h owed radiation to be the treatment of choice for early stage tumors, and surgical treatment combined with radiation to be used against advanced or radioinsensitive tumors.<BR>Hypopharyngeal carcinoma should be treated by surgery in combination with radiotherapy. A new preoperative radiation regimen follwed by pharyngolaryngectomy and one-stage reconstruction has resulted in improved loco-regional control.<BR>Recent 5-year accumulated survival rates are 68.4% for oropharyngeal and 44.8% for hypopharyngeal carcinoma. These survival rates are much better than those of the past.
耳鼻咽喉科臨床学会の論文