Abstract
The combination of endoscopic laryngo-pharyngeal surgery （ELPS） and open surgery would enable preservation of the larynx in cases with hypopharyngeal cancer invading the cervical esophagus. This report describes the case of a 65-year-old female with basaloid squamous cell carcinoma who underwent prior ELPS to determine the superior excision line and subsequent open surgery, resulting in complete cure without losing her own voice. We evaluated her tumor under general anesthesia and noticed it was not invading the larynx but was infiltrating the cervical esophagus.
Measures to prevent aspiration were done at the end of the operation, and she overcame aspiration pneumonia several times and became able to ingest necessary nutrients orally. Two years and 11 months have passed since the operation, and she has no trouble with vocalization and there is no recurrence or metastasis in her whole body.
