Page 51 - Head and neck surgery

Trans-cervical approach comprising of MR and PLCE should be considered in the surgical

management of patients with isolated PE tumours. Compared with conventional PLE, a totally
trans-cervical approach offers superior operative outcomes. Furthermore, tumour control and

survival are not inferior to PLE.

FJ flap is an optimal choice for PE reconstruction. Swallowing outcomes can be further improved

with the use of FJ Botox injection.

Patient compliance and comprehensive clinical, endoscopic and radiological surveillance is

warranted to detect early recurrence and/or second primaries developing along the upper

aerodigestive tract.

PLE and GPU is indicated for patients with synchronous lesions in the lower esophagus and/or
those with lengthy PE tumour whereby MR alone cannot provide adequate exposure for

oncological clearance in the distal esophagus.