Procedure | Description | Patient selection |
Suprahyoid pharyngotomy | A horizontal incision over the hyoid with anterior to posterior dissection exposing the posterior hypopharyngeal wall | Tumors localized to the posterior hypopharyngeal wall |
Partial laryngopharyngectomy or extended supraglottic partial laryngectomy | Approaches the tumor from the contralateral side through the aryepiglottic fold anterior to the arytenoids and then through the ventricle | Posterior pharyngeal wall tumors; pyriform sinus tumors that are without vocal cord abnormality, extension to the apex of the pyriform sinus, or thyroid cartilage invasion |
Supracricoid hemilaryngopharyngectomy | Removes the entire supraglottis, the false and true vocal cords, and the thyroid cartilage, including the paraglottic and preepiglottic spaces | Pyriform sinus tumors without invasion of the apex, the postcricoid region, or posterior pharyngeal wall, and without fixation of true vocal cords |
Minimally invasive procedures | Transoral approach with CO2 laser resection or transoral robotic surgery | Tumors that are accessible and that are predicted to have good postoperative function |
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