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Stereotactic radiosurgery for squamous cell carcinoma of the nasopharynx
Author(s) -
Kondziolka Douglas,
Lunsford L. Dade
Publication year - 1991
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199105000-00014
Subject(s) - radiosurgery , medicine , lesion , skull , basal cell , gamma knife , radiology , nuclear medicine , head and neck , radiation therapy , surgery , pathology
Stereotactic radiosurgery using the gamma unit represents a unique neurosurgical treatment method for the management of selected intracranial vascular malformations and tumors. During a closed‐skull single‐session procedure that focuses 201 individual beams of gamma irradiation, a high‐radiation dose is delivered to the lesion, with a steep dose fall‐off peripherally. In order to maintain accuracy of delivery, the target must remain fixed in space; hence the skull is engaged by rigid external fixation during treatment. In this report, we document the first ex‐tracranial lesion treated with radiosurgery, a recurrent squamous cell carcinoma of Rosenmuller's fossa, and discuss the possible role of radiosurgery in carefully selected head and neck malignancies.