[Endoscopic posterior septectomy for patients with nasopharyngeal tumor].

Abstract

OBJECTIVE:

To explore the techniques, advantages and disadvantages, indications and cautions of a surgical approach for the resection of nasopharyngeal tumor.

METHODS:

Ten cases with nasopharyngeal tumors were recruited in this study, of them, 3 cases with residual nasopharyngeal carcinoma after chemoradiotherapy, 2 cases with cavernous angioma, 2 cases with benign mixed tumor, 1 malignant mixed tumor, 1 adenoid cystic carcinoma, and 1 chordoma. All patients underwent endoscopic resection of posteroinferior quarter part of nasal septum, and then the removal of nasopharyngeal tumors through bilateral transnasal approach.

RESULTS:

Total resection of the tumor was achieved for all cases without severe surgical complications. All cases with benign tumors, with following-up of 6-18 months, showed no recurrence. Of 6 cases with malignant tumors, with following-up of 12-48 months, 5 cases showed no recurrence, and 1 case was suspected to relapse one year postoperatively, but not with any lesion enlargement after another 6 month follow-up.

CONCLUSIONS:

Posteroinferior quarter part of nasal septectomy is preferred for endoscopic resection of nasopharyngeal tumors because it can provide a panoramic view on nasopharyngeal cavity and tumors, thus, facilitating the removal of nasopharyngeal tumors.

• Authors: Wei-Hong Jiang, Zhi-Hai Xie, Hua Zhang, Ping Wu, Lin Qi, Jun-Yi Zhang, Yun-Xia Lü, Jian-Yun Xiao, Su-Ping Zhao
• Journal: Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery (Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi) Vol. 46 Issue 1 Pg. 66-8 (Jan 2011) ISSN: 1673-0860 [Print] China
• PMID: 21429341 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Endoscopy (methods)
• Female
• Humans
• Male
• Middle Aged
• Nasal Septum (surgery)
• Nasopharyngeal Neoplasms (surgery)
• Treatment Outcome
• Young Adult