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Article: Morbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma

TitleMorbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma
Authors
Issue Date2015
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-0347
Citation
Head & Neck, 2015, v. 37 n. 4, p. 487-492 How to Cite?
AbstractBACKGROUND: 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. (c) 2014 Wiley Periodicals, Inc. Head Neck, 2014.
Persistent Identifierhttp://hdl.handle.net/10722/199255
ISSN
2015 Impact Factor: 2.76
2015 SCImago Journal Rankings: 1.233

 

DC FieldValueLanguage
dc.contributor.authorChan, JYW-
dc.contributor.authorTsang, RKY-
dc.contributor.authorWei, WI-
dc.date.accessioned2014-07-22T01:10:17Z-
dc.date.available2014-07-22T01:10:17Z-
dc.date.issued2015-
dc.identifier.citationHead & Neck, 2015, v. 37 n. 4, p. 487-492-
dc.identifier.issn1043-3074-
dc.identifier.urihttp://hdl.handle.net/10722/199255-
dc.description.abstractBACKGROUND: 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. (c) 2014 Wiley Periodicals, Inc. Head Neck, 2014.-
dc.languageeng-
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-0347-
dc.relation.ispartofHead & Neck-
dc.rightsHead & Neck. Copyright © John Wiley & Sons, Inc.-
dc.titleMorbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma-
dc.typeArticle-
dc.identifier.emailChan, JYW: jywchan1@hku.hk-
dc.identifier.emailTsang, RKY: rkytsang@hku.hk-
dc.identifier.emailWei, WI: hrmswwi@hku.hk-
dc.identifier.authorityChan, JYW=rp01314-
dc.identifier.authorityTsang, RKY=rp01386-
dc.identifier.authorityWei, WI=rp00323-
dc.identifier.doi10.1002/hed.23633-
dc.identifier.pmid24677377-
dc.identifier.hkuros231878-
dc.identifier.volume37-
dc.identifier.issue4-
dc.identifier.spage487-
dc.identifier.epage492-
dc.publisher.placeUnited States-

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