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Transcervico‐mandibulo‐palatal approach for surgical salvage of recurrent nasopharyngeal cancer
Author(s) -
Morton Randall P.,
Liavaag Per Gunnar,
McLean Michael,
Freeman Jeremy L.
Publication year - 1996
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199607/08)18:4<352::aid-hed7>3.0.co;2-x
Subject(s) - nasopharyngeal carcinoma , medicine , nasopharyngeal cancer , radiation therapy , survivorship curve , cancer , surgery
Background Local relapse of nasopharyngeal carcinoma is a difficult problem of management that is usually treated by re‐irradiation. Surgical salvage is rarely offered, judging by the paucity of reports in the literature. Methods This article reviews the six previously described methods of performing nasopharyngectomy and recounts experience with a series of seven patients using a transcervico‐mandibulo‐palatal approach, which is described. Results The results of this small series show survivorship and morbidity which seem to compare favorably with other published surgical treatment options. Conclusions If retreatment with radiotherapy is not favored, the transcervico‐mandibulo‐palatal approach may be a suitable method of surgical salvage for small, locally recurrent, nasopharyngeal cancer. HEAD & NECK 1996;18:352–358 © 1996 John Wiley & Sons, Inc.