Endoscopic resection is a minimally invasive treatment for superficial pharyngeal cancer that requires general anesthesia and a laryngoscope to secure the operating space. 1-4 However, it is unclear whether endoscopic resection can be performed for lesions on a reconstructed pharyngeal flap. We previously demonstrated the endoscopic resection of a squamous cell carcinoma on the pharyngeal flap, which was termed endoscopic “flapectomy.” 5 The superior flexibility of the endoscope compared with other transoral surgical devices enables it to approach the operating space.
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