Journal of Otology & RhinologyISSN: 2324-8785

Reach Us +1 850 754 6199
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Research Article, J Otol Rhinol Vol: 3 Issue: 4

Endoscopic Nasopharyngectomy for Locally Recurrent Nasopharyngeal Carcinoma: How We Do It?

Macdonald KI1*, Fandino M2, Vescan A3, Gentili F4 and Witterick IJ3
1Department of Otolaryngology - Head & Neck Surgery, University of Ottawa,Ottawa, Ontario, Canada
2Division of Otolaryngology - Head & Neck Surgery, University of British Columbia,Vancouver, BC, Canada
3Department of Otolaryngology-Head and Neck Surgery, University of Toronto,Toronto, Ontario, Canada
4Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto,Ontario, Canada
Corresponding author : Kristian Macdonald,
University of Ottawa, 1081 Carling Ave., G-3, Ottawa ON, K1Y 4G2, Canada
Tel: 613-729-2834
E-mail: [email protected]
Received: April 15, 2014 Accepted: July 17, 2014 Published: July 25, 2014
Citation: Macdonald KI, Fandino M, Vescan A, Gentili F, Witterick IJ (2014) Endoscopic Nasopharyngectomy for Locally Recurrent Nasopharyngeal Carcinoma: How We Do It?. J Otol Rhinol 3:4. doi:10.4172/2324-8785.1000171

Abstract

Endoscopic Nasopharyngectomy for Locally Recurrent Nasopharyngeal Carcinoma: How We Do It?

Objective: To describe, with intraoperative pictures, our technique of endoscopic nasopharyngectomy in two cases of early locally recurrent nasopharyngeal carcinoma (NPC).

Methods: Two patients were treated in 2011for biopsyconfirmed recurrent nasopharyngeal cancer, after previously being treated with chemoradiation. The patients were staged as rT1N0M0 and rT2aN0M0.

Results: Both patients were treated successfully with endoscopic resection. Bilateral nasoseptal flaps were used for reconstruction. Surgical resection included en bloc removal with at least 1.0 cm margins. Frozen section and final pathology margins were negative in both patients. The final pathological reports confirmed nasaopharyngeal carcinoma. Both patients are free of disease postoperatively (rT1 3 years, and rT2a 2.5 years), and are symptomatically well with minor complaints. Our experience is similar to several previously described case series.

Conclusions: Endoscopic nasopharyngectomy is a minimally invasive, safe and effective option compared to the maxillary swing procedure for early nasopharyngeal carcinoma.

Keywords: Nasopharyngeal cancer; Endoscopic surgery; Nasopharyngectomy; Locally recurrent carcinoma

Track Your Manuscript

Share This Page

Media Partners

Associations