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KMID : 0361020010440050538
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 5 p.538 ~ p.542
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Salvage Surgery for Locally Recurred Nasopharyngeal Carcinoma
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한경열/Kyung yuhl Han
고경석/김창진/김상윤/Kyung Suck Koh/Chang Jin Kim/Sang Yoon Kim
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Abstract
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There are several options for the management of patients with locally recurred nasopharyngeal carcinoma after irradiation. Many patients can benefit from reirradiation but the complications of high dose irradiation for the second time are often
severe
and unbearable. In some patients, the recurred lesion may persist even after the reirradiation. Obtaining an adequate exposure of the nasopharynx for an oncologic surgical procedure has been challenging because of its surgical inaccessibility.
However,
improvements in the surgical approaches to the nasopharynx and paranasopharynx have been made in recent years. Two illustrative cases, in which we performed salvage surgery, are presented in this article. Using the maxillary swing approach, we
removed
the recurrent nasopharyngeal tumor in a 43 year old female patient. The reassembly of the osseous and soft tissues was not difficult and the associated morbidity was acceptable. In a 19 year old male patient, subtemporal-preauricular
infratemporal
fossa
approach was performed with low morbidity for the removal of tumor recurred at the pterygopalatine fossa.
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