Endoscopic nasopharyngectomy for salvage in nasopharyngeal carcinoma: A novel anatomic orientation

Wen, Yihui; Wang, Wen; Chen, Hexin; Li, Jian; Zeng, Yu-Hui; Geng, Xin

doi:10.1002/lary.20958

Cited by 36 publications

(36 citation statements)

References 15 publications

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“…Localized benign lesions such as juvenile nasal angiofibromas can be endoscopically resected, typically after angioembolization [11,12]. Furthermore, while open surgical approaches have been the traditionally favored surgical modality for local control, there are now reports of endoscopic resection to address local recurrence of nasopharyngeal carcinoma [13,14]. For other malignancies, such as localized chondroid cordoma of the nasoppharynx and skull base, some authors advocate strongly for the use of endoscopic resection as it spares the morbidity of open approaches [15,16].…”

Section: Discussionmentioning

confidence: 99%

An endonasal approach to the resection of a papillary seromucinous adenocarcinoma of the Eustacian tube

Glicksman

Franklin

Shepherd

et al. 2013

Journal of Otolaryngology - Head & Neck Surgery

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ObjectivesPapillary seromucinous adenocarcinoma of the sinonasal tract is exceedingly rare. The objectives of this case report are to describe a case of papillary seromucinous adenocarcinoma presenting in the nasopharynx and to review the literature pertaining to other similar cases.MethodsA review of the patient's chart and a review of the English literature were conducted.ResultsWe describe the case of a 64 year-old woman who presented with a 3-year history of epistaxis and right-sided otitis media with effusion. The patient had been followed for a known nasopharyngeal mass that had twice been biopsied and in both cases was considered a benign mass pathologically. A third biopsy was diagnosed as a low-grade papillary seromucinous adenocarcinoma. The patient was otherwise asymptomatic. The patient was referred to a multidisciplinary cancer clinic at which endoscopic resection was determined to be the preferred treatment modality. A literature review and approach to patients with nasopharyngeal masses will be presented.ConclusionsPapillary seromucinous adenocarcinoma is a rare tumor that can present in the nasopharynx. We describe the endoscopic surgical management of one such patient that presented to our care.

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Section: Discussionmentioning

confidence: 99%

An endonasal approach to the resection of a papillary seromucinous adenocarcinoma of the Eustacian tube

Glicksman

Franklin

Shepherd

et al. 2013

Journal of Otolaryngology - Head & Neck Surgery

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“…Adequate resection of small but thick tumour located in the posterior wall of the nasopharynx could be achieved with an endoscope inserted through the nasal and oral cavities [14,15,16 ]. Microwave coagulation therapy has also been reported to be successful when applied transnasally [17].…”

Section: Salvage Surgery For Disease In the Nasopharynxmentioning

confidence: 99%

Recurrent nasopharyngeal carcinoma: surgical salvage vs. additional chemoradiation

Wei

Kwong²

2011

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…[1][2][3][4][5][6][7][8][9][10] The four-hand expanded endonasal approach (EEA) has become the standard-ofcare for resectable nasopharyngeal cancer, notably in recur-rent nasopharyngeal carcinoma after chemoradiotherapy, which is the most frequently encountered situation. [1][2][3][4][5][6][7][8][9][10] The four-hand expanded endonasal approach (EEA) has become the standard-ofcare for resectable nasopharyngeal cancer, notably in recur-rent nasopharyngeal carcinoma after chemoradiotherapy, which is the most frequently encountered situation.…”

Section: Introductionmentioning

confidence: 99%

Cervical‐transoral robotic nasopharyngectomy: A preclinical study

2019

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Background: We performed a preclinical study to assess the feasibility of the cervical-transoral robotic pharyngectomy procedure in surgery for nasopharyngeal cancer, where deep margins and vascular safety are key issues. Materials and methods: Four cadaveric dissections were performed with the da Vinci Xi system. The first step was a robotic parapharyngeal dissection along the internal carotid artery (ICA). The second step was a type 3 transoral robotic nasopharyngectomy.Results: In each procedure, a comprehensive dissection of the parapharyngeal space was performed along the ICA up to the foramen lacerum. A type 3 nasopharyngectomy was performed transorally with an "en-bloc" removal of the parapharyngeal space, and with complete removal of the eustachian tube up to its bony part.Conclusion: A comprehensive cervical-transoral robotic type 3 nasopharyngectomy with "en-bloc" removal of the parapharyngeal space and the eustachian tube proved to be technically feasible in a preclinical study. K E Y W O R D Sinternal carotid artery, nasopharyngeal cancer, nasopharyngectomy, preclinical study, transoral robotic surgery

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Endoscopic nasopharyngectomy for salvage in nasopharyngeal carcinoma: A novel anatomic orientation

Abstract: This anatomic study provides novel orienting landmarks for endoscopic nasopharyngectomy. Surgeons can efficiently and safely deal with residual and/or recurrent NPC endoscopically.

Cited by 36 publications

References 15 publications

An endonasal approach to the resection of a papillary seromucinous adenocarcinoma of the Eustacian tube

An endonasal approach to the resection of a papillary seromucinous adenocarcinoma of the Eustacian tube

Recurrent nasopharyngeal carcinoma: surgical salvage vs. additional chemoradiation

Cervical‐transoral robotic nasopharyngectomy: A preclinical study

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