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Review
. 2023 Apr;56(2):323-331.
doi: 10.1016/j.otc.2022.12.002.

Salvage Surgery

Somtochi Okafor  1 , Oluwaseyi O Awaonusi  2 , Tammara L Watts  1 , Trinitia Y Cannon  3
Affiliations
Review

Salvage Surgery

Somtochi Okafor et al. Otolaryngol Clin North Am. 2023 Apr.

Abstract

The Department of Veterans Affairs Laryngeal Cancer Study propelled the combination of chemotherapy and radiation therapy to the forefront of strategies used for the management of locally advanced laryngeal cancer. The organ preservation rate was 84%. However, over the past 30 years that these approaches have been in place, there have been concerns regarding long-term survival and high failure rates requiring salvage. Furthermore, salvage laryngectomy, if feasible when considering increased morbidity after CRT, is fraught with a higher risk of wound complications including fistula, longer hospitalization, and reduced quality of life.

Keywords: Chemoradiation therapy; Elective neck dissection; Laryngeal cancer; Pectoralis major myocutaneous/myofascial flap; Tracheal esophageal puncture.

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