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Abstract
Traditional approaches to nasopharyngectomy for the treatment of recurrent nasopharyngeal
carcinoma carry considerable complications. This paper presents an innovative transnasal
approach with stereotactic navigation guidance through a mid-face deglove incision
which has been done for 15 patients with minimal morbidity. All patients had resumed
their oral diet within a week, and were discharged within 10 days. The intraoral wound
had healed within a week. The only complications were a mild degree of saddling of
the nasal dorsum in one patient and temporary facial numbness that resolved within
six weeks in three. Tumour had been resected with clear margins in 12/15, in the other
three being stuck to the carotid artery.
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References
Waterhouse, J, Muir, C, Shanmugaratnam, K, et al., Cancer incidence in five continents. Lyon: International Agency for Research on Cancer, 1982, 4, 700, 701
Cancer incidence and mortality in Hong Kong, 1992. Hong Kong Cancer Registry, 1996
- Radiotherapy.in: van Hasselt CA Gibb AG Nasopharyngeal carcinoma, 2nd edn. Chinese University Press, Hong Kong1999: 221-241
- Nasopharyngeal carcinoma: local control by megavoltage irradiation.Br J Radiol. 1993; 66: 528-536
- Carcinoma ofnasopharynx treated by radiotherapy alone: determinants of local and regional control.Int J Radiat Oncol Biol Phys. 1997; 37: 985-996
- Nasopharyngeal carcinoma. A study examining Asian patients treated in the United States.Am J Clin Oncol. 1995; 18: 337-342
- Malignant tumours of the nasopharynx.Radiol. 1971; 99: 165-171
- Transpalatal insertion of radioactive gold grain for the treatment of persistent and recurrent nasopharyngeal carcinoma.Int J Radiat Oncol Biol Phys. 1993; 25: 505-512
- Prognostic factors and stage-classification.in: van Hasselt CA Gibb AG Nasopharyngeal carcinoma, 2nd edn. Chinese University Press, Hong Kong1999: 195-220
- Long-term survival aftersurgical resection for recurrent nasopharyngeal cancer afterradiotherapy failure.Arch Otolaryngol Head Neck Surg. 1991; 117: 1233-1236
- Carcinoma of the nasopharynx: Eighteen years' experience with megavoltageradiation therapy.Cancer. 1976; 37: 2605-2612
- Retrospective analysis of patients with nasopharyngeal carcinoma treated during 1976–1985: survival after local recurrence.Int J Radiat Oncol Biol Phys. 1993; 6: 773-782
- Retrospective analysis of 5037 patients with nasopharyngeal carcinoma treated during 1976–1985: overall survival and patients of failure.Int J Radiat Oncol Biol Phys. 1992; 23: 261-270
- Role of surgery.in: van Hasselt CA Gibb AG Nasopharyngeal carcinoma, 2nd edn. Chinese University Press, Hong Kong1999: 277-286
- Salvage surgery fornasopharyngeal carcinoma.Arch Otolaryngol Head NeckSurg. 1988; 114: 328-329
- Transcervico-mandibulo-palatal approach for surgical salvage of recurrent nasopharyngeal cancer.Head Neck. 1996; 18: 352-358
- Maxillary swing approach for resection of tumors in and around the nasopharynx.Arch Otolaryngol Head Neck Surg. 1995; 121: 638-642
- Transfacial access to the retromaxillary area.Maxillofac Surg. 1986; 14: 165-170
- The LeFort I osteostomy approach fornasopharyngeal and nasal fossa tumours.Arch Otolaryngol Head Neck Surg. 1988; 114: 751-754
- A new transfacial approach for lesions of the clivus and parapharyngeal space: the partial segmented LeFort I osteotomy.Plastic & Reconstructive Surgery. 1999; 103: 955-959
- Nasopharyngectomy in the treatment of recurrent nasopharyngeal carcinoma:A twelve-year experience.Head Neck Surg. 2000; 22: 215-222
- Treatment of Stage I nasopharyngeal carcinoma: analysis of the patterns of relapse and the results of withholding elective neck irradiation.Int J Radiat Oncol Biol Phys. 1989; 17: 1183-1190
- Retreatment of recurrentnasopharyngeal carcinoma.Radiol. 1981; 138: 191-193
- Cancer of the nasopharynx: 142 patients treated in the 11 year period 1950–1960.AJR. 1967; 99: 313-325
- Prognostic factors of nasopharyngealcarcinoma: a review of 759 patients.Br J Radiol. 1990; 63: 51-58
- Treatment of persistent and recurrent nasopharyngealcarcinoma by brachytherapy.Br J Radiol. 1989; 62: 355-361
- Experimental treatment of recurrent carcinoma of the nasopharynx with electrodesiccation, radioactive cobalt and x-ray radiation.Ann Otol Rhinol Laryngol. 1956; 65: 723-735
- How successful is high-dose (60 Gy) reirradiation using mainly external beams in salvaging local failures of nasopharyngealcarcinoma?.Int J Radiat Oncol Biol Phys. 1998; 40: 897-913
- Significant prognosticators after primary radiotherapy in 903 nondisseminated nasopharyngealcarcinoma evaluated by computer tomography.Int J RadiatOncol Biol Phys. 1996; 36: 291-304
- Transnasal permanent interstitialimplantation for carcinoma of the nasopharynx.Int J RadiatOncol Biol Phys. 1984; 10: 153-155
- Re-irradiation of recurrent nasopharyngeal carcinoma: treatment techniques and results.Int J Radiat Oncol Biol Phys. 1987; 13: 953-956
- Radiation therapy of recurrentnasopharyngeal carcinoma: report on 219 patients.ActaRadiol Oncol. 1983; 22: 23-28
- Radiation therapy ofnasopharyngeal carcinoma: prognostic factors based ona 10-year follow-up of 1302 patients.Int J Radiat OncolBiol Phys. 1989; 16: 301-305
- The midface degloving procedure.Plast Reconstr Surg. 1974; 53: 102-103
- Indications and techniques of midface degloving.Arch Otolaryngol Head Neck Surg. 1986; 112: 750-752
Article info
Publication history
Accepted:
June 21,
2000
Received:
March 22,
2000
Footnotes
☆Correspondence and requests for offprints to: Professor Edward W. H. To, Division of Head & Neck–Plastic & Reconstructive Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. Tel: +852 2632 2639; Fax: +852 2637 7974; E-mail:[email protected]
Identification
Copyright
© 2001 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
