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Morbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma
Author(s) -
Chan Jimmy Yu Wai,
Tsang Raymond King Yin,
Wei William Ignace
Publication year - 2015
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/hed.23633
Subject(s) - medicine , trismus , swallowing , surgery , perioperative , nasopharyngeal carcinoma , radiation therapy
Background The purpose of this study was to investigate the complications after maxillary swing nasopharyngectomy. Methods Salvage nasopharyngectomy was performed for 338 patients during 1990 to 2012. Patient and tumor characteristics, perioperative and intraoperative information, and long‐term morbidities were analyzed. Results There were significantly more patients with locally advanced tumors (rT3 and rT4) operated during the recent study period (2002–2012). However, the mean operative time and blood loss was significantly lower than in the earlier period (1990–2001). There was no hospital mortality. There was a significant reduction in the postoperative trismus and palatal fistula formation. Patients with locally advanced tumor, particularly those who required adjuvant chemoradiation, had a higher chance of facial numbness, nasal blockage, and swallowing problems after surgery. Conclusion Salvage nasopharyngectomy via the maxillary swing approach is safe with acceptable long‐term morbidities. Prevention of complications associated with surgery, particularly for patients with locally advanced tumors, is crucial to ensure the best outcome of surgery. © 2014 Wiley Periodicals, Inc. Head Neck 37 : 487–492, 2015