Sequelae and Complications of Treatment for Hypopharyngeal Cancer: Minimising the Risks

Adv Otorhinolaryngol. 2019:83:109-117. doi: 10.1159/000492319. Epub 2019 Feb 12.

Abstract

Treatment of hypopharyngeal cancer depends on the extent and location of the tumour, patient-specific or by factors (age, performance status, co-morbidity) and the presence of psychosocial support. Options available for the treatment of hypopharyngeal cancer consist of surgery and non-surgery - radiotherapy, chemoradiation, bioradiation, or a combination of these modalities. To maintain normal functioning as much as possible, functional organ preservation is widely recommended and generally utilizes radiotherapy and/or chemoradiation. Although functional organ-sparing approaches can permit larynx preservation in patients with locoregionally advanced cancer of the hypopharynx, they do not provide a survival advantage over total laryngectomy. All available treatment modalities for patients with hypopharyngeal cancer have associated short- and long-term toxicities leading to side effects and complications.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Humans
  • Hypopharyngeal Neoplasms / therapy*
  • Hypothyroidism / etiology
  • Intubation, Gastrointestinal / adverse effects
  • Lymphedema / etiology
  • Postoperative Complications* / prevention & control
  • Radiotherapy / adverse effects*
  • Xerostomia / etiology

Substances

  • Antineoplastic Agents