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ONGS SURGERY TOTAL LARYNGECTOMYTOTAL PHARYNGECTOMY TOTAL ESOPHAGECTOMY WITH GASTRIC PULL UP. -THE FORGOTTEN SURGERY

SANTOSH KUMAR

Abstract


Total laryngo pharyngo esophagectomy with          gastric pull up also known as the ONGS surgery is indicated for large post cricoid tumor with cervical oesophagus                involvement. The goal of this procedure is to cure the patient from malignant tumor and restore normal swallowing. With the

availability of newer and improved radiotherapy techniques like CHART (continuous hyperfractioned accelerated                radiotherapy) the local and delayed complications of                radiotherapy has reduced in the recent times. Morbid                surgeries like the ONGS are avoided. Now the present             indication for ONGS has been restricted to either cases with radiotherapy failure or as a salvage procedure. So in recent times with the rarity of this procedure being performed, it has almost been FORGOTTEN. The purpose of this paper is to highlight ONGS as primary modality of treatment.

 


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References


Cummings otolaryngology head and neck surgery, 5th edition vol -1.

Comprehensive management of head and neck tumors by John G Batsakis, 2nd edition vol-1.

Scott- Brown’sotorhinolaryngology, head and neck surgery, 7th edition vol-2.

Stell and Maran’s textbook of head and neck surgery and oncology, 5th edition.

Oesophageal replacement oesophageal disease for end-stage benign surgical clinics of north America journal 1997.


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