Akademik Veri Yönetim Sistemi
Indian Journal of Otolaryngology and Head and Neck Surgery, 2026 (ESCI, Scopus)
Salvage surgery remains the primary option for treating recurrent laryngeal cancer in patients previously managed with laryngectomy and radiotherapy. The outcome of this intervention depends on several critical factors, including the tumor’s clinical stage, histopathological grade, evidence of metastasis, timing of recurrence, and prior head and neck irradiation. In this case, a 72-year-old male with recurrent disease involving the cervical esophagus, tongue base, and hypopharynx underwent complete surgical excision. A free jejunal flap was utilized for esophageal reconstruction through the nasopharynx. Postoperatively, he received chemoradiotherapy. While initial recovery was uneventful and imaging showed no recurrence at six months, relapse was detected at 10 months, leading to progressive dysphagia and systemic decline. The patient ultimately succumbed to multiorgan failure due to infection. Despite its low overall success rate, salvage surgery was deemed suitable in this case given the patient’s physical status and absence of distant metastasis.