Surgical options for Hypopharyngeal Cancers

As is apparent from the treatment algorithms, many surgical options can achieve clear margins and preserve laryngeal function

Surgical options include:

Type of surgery depends on

  • Tumour factors
    • Site
    • Cartilage invasion
    • Stage
  • Prior therapy
    • Radiation
    • Partial pharyngectomy
  • Patient factors
    • Pulmonary status (tolerate aspiration)
    • Fitness, age
    • Nutritional status
    • Cognitive status (To work with Speech and Language Therapist)
  • Institutional support
    • Surgical expertise
    • Availability of CO2 laser / transoral microsurgery / TORS
    • Speech and swallowing support
    • Tracheoesophageal speaking valves
    • Oesophagectomy, gastric pull-up, PEG

Index: Clinical Practice Guidelines for Hypopharyngeal Cancer

Resource Appropriate Hypopharynx Cancer Guideline Scenarios