What is the best treatment for laryngopharyngeal cancer?

  Laryngopharynx is a part of digestive tract, located between oropharynx and esophagus, which is the necessary way for food to enter stomach.  When the tumor grows to a certain size and obviously occupies the lumen or involves the larynx, it may cause difficulty in swallowing, blood in sputum, hoarseness and other discomforts, and when there is metastasis in the lymph nodes of the neck, a lump can be touched in one or both sides of the neck. Since most of them are already in advanced stage when diagnosed, the prognosis of laryngopharyngeal cancer is poor, and the 5-year survival rate is about 30%.  The treatment of recurrent laryngopharyngeal cancer is more difficult, especially for patients who have received radiotherapy. The biggest difficulty in treatment is the repair of tissue defects after surgical resection. There are three main methods for repairing tissue defects after hypopharyngeal and cervical esophageal surgery: gastropharyngeal anastomosis, free jejunum transplantation and skin/myocutaneous flap transplantation. Gastropharyngeal anastomosis is very invasive and has many postoperative complications, which are usually difficult for the elderly and the less fit to tolerate. Free jejunum substitution for esophagus, especially free skin flap substitution for esophagus, is less traumatic, has a high survival rate of the transplanted tissue flap, and has fewer complications, but requires excellent microvascular anastomosis technique. In combination with the specific situation of Huang, the Department of Otolaryngology-Head and Neck Surgery of Xinhua Hospital performed a laryngopharyngeal cancer recurrence resection + anterolateral femoral free flap graft for esophageal repair on him on January 12.  With the development of microvascular surgery, free tissue flap grafting technique has been increasingly used in the first-stage repair of postoperative tissue defects in head and neck tumors. The use of free tissue flap repair has the advantages of abundant blood supply, high survival rate, hidden donor site, the possibility of making a suitable size flap according to the need, and no obvious dysfunction of the donor site after surgery, etc., and has been welcomed by more and more head and neck surgeons. The disadvantage of this procedure is that it requires excellent microvascular anastomosis technique, so there are few hospitals in China that have successfully carried out this type of surgical treatment. Therefore, if you encounter laryngopharyngeal cancer, especially advanced laryngopharyngeal cancer or recurrent laryngopharyngeal cancer, you should go to a hospital that has the conditions to treat it.