Maxillary swing approach for surgical resection of recurrent nasopharyngeal tumors
Author
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 19, Issue 3 (30 Sep. 2007), pp.219-223, 5 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2007-09-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Purpose: To evaluate the efficacy of salvage nasopharyngectomy for locally recurrent nasopharyngeal tumors through the maxillary swing approach. Methods: Antero–lateral access to the nasopharynx and its vicinity through the maxillary swing approach was used.
Through a Weber-Fergusson-Longmire incision, the whole maxilla is freed and swung laterally while remaining attached to the masseter muscle and cheek flap.
The nasopharynx, para-pharyngeal space and infratemporal fossa are now exposed facilitating complete resection of the tumor. Results: Seven patients were treated with this approach at the National Cancer Institute, Cairo University.
There were 6 males and one female with a range of age 16-57 years.
Three patients had recurrent carcinoma of the nasopharynx after primary radiation therapy, while four patients had locally advanced recurrent juvenile nasopharyngeal angiofibroma (JNA).
Using the operating microscope, complete tumor resection was achieved in all patients except one patient with intracranial extension of JNA.
There was no surgical mortality.
Complications occurred in three patients, one patient developed osteoradionecrosis following re-irradiation, a patient had epiphora while palatal fistula occurred in another patient.
The follow-up period ranged from 3 months to 6 years, one patient died from distant disease and another patient is alive with residual intra-cranial disease. Conclusion: Salvage nasopharyngectomy is a valid option for selected patients with recurrent nasopharyngeal tumors.
The maxillary swing approach allows safe and complete resection for nasopharyngeal carcinoma as well as juvenile angiofibroma with intracranial extension.
American Psychological Association (APA)
Amin, Ayman Abd al-Wahhab. 2007. Maxillary swing approach for surgical resection of recurrent nasopharyngeal tumors. Journal of the Egyptian National Cancer Institute،Vol. 19, no. 3, pp.219-223.
https://search.emarefa.net/detail/BIM-29073
Modern Language Association (MLA)
Amin, Ayman Abd al-Wahhab. Maxillary swing approach for surgical resection of recurrent nasopharyngeal tumors. Journal of the Egyptian National Cancer Institute Vol. 19, no. 3 (Sep. 2007), pp.219-223.
https://search.emarefa.net/detail/BIM-29073
American Medical Association (AMA)
Amin, Ayman Abd al-Wahhab. Maxillary swing approach for surgical resection of recurrent nasopharyngeal tumors. Journal of the Egyptian National Cancer Institute. 2007. Vol. 19, no. 3, pp.219-223.
https://search.emarefa.net/detail/BIM-29073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 223.
Record ID
BIM-29073