Surgical Alternatives in the Therapy of Hypopharyngeal Tumours of Various Locations - 30 Years (1986-2018) of Experience at the Department of Otorhinolaryngology, Head, and Neck Surgery, University of Szeged, Hungary

Iván László, Gholam Hossein Alim Marvasti



Background and Aim: The authors present advances in the surgical management of hypopharyngeal tumours in Hungary, specifically at the department of otorhinolaryngology and Head-Neck Surgery, Faculty of Medicine, University of Szeged. Resective and function-preserving surgical interventions performed via open operation are described separately. Indications for external exploration and the endoscopic-microscopic approach are also detailed, and the surgical repertoire used in the management of hypopharyngeal tumours at the department is presented. 

Results: At the department of Otorhinolaryngology, Head, and Neck Surgery, University of Szeged we have experienced a continuous increase in the number of hypopharyngeal tumours since the 1980s. It is not only the increased incidence that we have noted but the tumours are also getting more advanced. When focusing on the surgical management of hypopharyngeal tumours, we aim to achieve radical removal as well as retain certain functions, such as the ability of speech, which is an important aspect of the quality of life. 

Conclusion: Resection of hypopharyngeal tumors with laser increases the risk of recurrence, therefore it is only considered safe in some selected cases. Laryngoscopic assess and the straight line of CO2 laser determines the direction of laser line, which makes it difficult for surgeon to evaluate the involvement of deeper tissues. However, if the indications are closely observed, laser surgery is a potential alternative to surgical intervention in the treatment of small hypopharyngeal tumors.


Econstruction; Hypopharyngeal tumors; Pharyngeal defect; Radical neck dissection; Total laryngectomy;

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Paul JA, MCA. Cochlear Implants: Auditory Prostheses And Electric Hearing. New York: Springer; 2004.

Smeltzer S, B Brenda J, Janis L, G. K. Medical Surgical Nursing. 2 Ed. Tehran: Salemi- Jameanegar Publication; 2010.

Byung In Han, Ho Won Lee, Tae You Kim, Jun Seong Lim, Kyoung Sik Shin. Tinnitus: Characteristics, Causes, Mechanisms, and Treatments. J Clin Neurol. 2009 Mar;5(1):11–9.

Madani S, K. M. Evaluation Tinnitus Characteristics Of Patients In Sarry Avicenna Hospital ENT Clinic 1377. Sci J Mazandaran Univ Med Sci 2001;11(32):15-77.

Heller AS. Classification And Epidemiology Of Tinnitus. Otolaryngol Clin North Am 2003;36(2):239-48.

Enrico P, Sirca D, M. M. Antioxidants, Minerals, Vitamins, And Herbal Remedies In Tinnitus Therapy. Tinnitus: Pathophysiol Treat 2007;166: 323-30.

Emami F, Farahani F, Behnood F, M. G. Comparison Of Digital And Analogue Behind The Ear Hearing Aids Effectiveness In Treatment Of Tinnitus In Elderly Patients Of Otolaryngology Centers In Hamadan. Sci J Hamedan Univ Med Sci 2007;15(4).

Craig W. Martin. Tinnitus Retraining Therapy. Tinnitus. 2004:556-8.

Gardiner P, Kemper KJ. Herbs in Pediatric and Adolescent Medicine. Pediatr Rev 2000;21 (2):44-57.

Steele T; Rogers C J; Jacob SE. Herbal Remedies for Psoriasis: What Are Our Patients Taking?. Dermatol Nurs 2007;19(5):457-63.

Newman CW, Jacobson GP, Spitzer JB. Development Of The Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143-8.

Afshin-Majd S, Yarmohamadi ME, Izadi P, Shahbeigi S, Davati A. A comparison of gabapentin and placebo in the treatment of subjective tinnitus. Iran J Neurol. 2008;7(21):153-9.

Kim NK, Lee DH, Lee JH, Oh YL, Yoon IH, Seo ES, et al. Bojungikgitang and banhabaekchulchonmatang in adult patients with tinnitus, a randomized, double-blind, three-arm, placebo-controlled trial--study protocol. Trials 2010;28;11:34.

Rejali D, Sivakumar A, N. B. Ginkgo Biloba Does Not Benefit Patients With Tinnitus: A Randomized Placebo‐Controlled Double‐Blind Trial And Meta‐Analysis Of Randomized Trials. Clinical Otolaryngology & Allied Sciences. 2004;29(3):226-31.

Okhovat A, Berjis N, Okhovat H, Malekpour A, H. A. Low-Level Laser For Treatment Of Tinnitus: A Self-Controlled Clinical Trial. Journal Of Research In Medical Sciences: The Official Journal Of Isfahan University Of Medical Sciences. 2011;16(1):33.



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