{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:50:06Z","timestamp":1760298606769},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,9,28]],"date-time":"2012-09-28T00:00:00Z","timestamp":1348790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Organ\u2010preservation approaches are frequently favored in the treatment of advanced pyriform sinus carcinoma. In selected cases, use of free flaps allows voice\u2010sparing surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirteen patients underwent conservative extended laryngopharyngectomy. In 11 patients, the resection included the supraglottic larynx, whereas the whole hemilarynx was resected in 2. Reconstruction was achieved with a radial forearm free flap with the palmaris longus tendon. In hemilarynx resection, a costal graft was also used. Functional results were assessed by nasofibroscopy and swallowing videofluoroscopic tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 12 months, no patient was gastrostomy dependent, whereas 1 patient remained tracheostomy dependent. At 1, 3, and 5 years, the locoregional control was 100%, 100%, and 83%; overall survival was 69.4%, 46.3%, and 30.8%; and disease\u2010specific survival was 81.2%, 54.5%, and 36.4%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In selected patients, extended conservative laryngopharyngectomy challenges the oncologic results of organ\u2010preservation protocols and allows a good quality of life. \u00a9 2012 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> 35: 1482\u20131489, 2013<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23174","type":"journal-article","created":{"date-parts":[[2012,9,30]],"date-time":"2012-09-30T11:30:34Z","timestamp":1349004634000},"page":"1482-1489","source":"Crossref","is-referenced-by-count":10,"title":["Extended voice\u2010sparing surgery in selected pyriform sinus carcinoma: Techniques and 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