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Primary and salvage surgery for cancer of the tonsillar region: A retrospective study of 120 patients

✍ Scribed by Pierre Gehanno; Joël Depondt; Charles Guedon; Cheidli Kebaili; Venkata Koka

Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
420 KB
Volume
15
Category
Article
ISSN
1043-3074

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✦ Synopsis

The present series compares results in our head and neck department from primary and salvage surgery for tumors of the tonsillar region from 1978 to 1985. Of 120 consecutively admitted patients, 70 underwent primary surgery followed by irradiation, and 50 underwent salvage surgery after the failure of primary radiotherapy. Follow-up has been continued for the past 6 years. Musculocutaneous flaps were employed in all patients requiring them after the introduction of this reconstructive technique in 1981. The actuarial survival rate after primary surgery was 58% at 3 years and 46% at 5 years. For salvage surgery the figures were 38% and 24%, respectively. This disappointing survival rate in salvage surgery resulted from a higher postoperative mortality (8% versus 1.4% in primary surgery) and from a higher local failure rate (36% versus 1470). The outcome was invariably unfavorable when tonsillar turnors extended into the base of the tongue.

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