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Japanese

Therapeutic Strategy in Patients with Oropharyngeal or Hypopharyngeal Superficial Cancer from Otolaryngological Point of View Akihito Watanabe 1 , Masanobu Taniguchi 1 , Hitoshi Tsujie 1 1Department of Otolaryngology-Head and Neck Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan Keyword: 中咽頭 , 下咽頭 , 表在癌 , 治療方針 , リスクマネージメント pp.240-243
Published Date 2010/2/25
DOI https://doi.org/10.11477/mf.1403101854
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 246 head and neck superficial cancers in 173 patients have been treated since 2002 in Keiyukai Sapporo Hospital. These lesions were removed by means of endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic laryngo-pharyngo surgery, resection under direct laryngoscopic view and so on. As treatment precautions, we should be cautions about laryngeal edema after resection of superficial carcinomas in oropharynx and/or hypopharynx as well as taking care to control bleeding in the operating field. Patients about whom there was concern regarding laryngeal edema were intubated and underwent ventilation until next morning to prevent difficulty in breathing after post-operative extubation. There were ten patients who needed overnight intubation, but they didn't require to re-intubation. As for superficial head and neck cancer patients with neck lymph node swelling, we think it is important to make sure that the depth of primary cancer in pathology is reasonably sufficient for suspecting neck lymph node involvement.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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