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Conference Paper: Critical appraisal of maxillary swing approach for recurrent nasopharyngeal carcinoma

TitleCritical appraisal of maxillary swing approach for recurrent nasopharyngeal carcinoma
Authors
KeywordsLong term results
Maxillary swing approach
Nasopharyngeal carcinoma
Persistent recurrent
Surgical salvage
Issue Date2014
PublisherThieme Medical Publishers. The Journal's web site is located at https://www.thieme-connect.com/products/ejournals/issue/10.1055/s-004-27203/grouping/030799/10.1055/s-00000181
Citation
The 11th Congress of The European Skull Base Society, Paris, France, 26-28 June 2014. In Journal of Neurological Surgery. Part B: Skull Base, 2014, v. 75 n. S02: a004 How to Cite?
AbstractBACKGROUND: The aim of the current study was to report our results of salvage nasopharyngectomy using the maxillary swing approach for persistent or recurrent nasopharyngeal carcinoma after primary treatment. METHODS: Between 1989 and 2011, nasopharyngectomies were performed in 312 patients. Data were composed of retrospective review of records of the first 72 patients followed by a prospective collection of data for the remaining patients. RESULTS: Among our patients, 41 (13.1%) had persistent tumors and 271 (86.9%) had recurrent disease. Resection with clear margins was achieved in 248 (79.5%) patients. All patients survived the operations. The median follow-up duration was 34 months. The overall 5-year actuarial local tumor control was 74% and the overall 5-year disease free survival was 56% (rT1: 78; rT2: 62; and rT3: 48%, respectively). On multivariate analysis, tumor size, resection margin status, and gross tumor in sphenoid sinus were independent prognostic factor for local tumor control. For overall survival, resection margin status, synchronous cervical nodal recurrence, and cavernous sinus invasion were shown to have a negative influence on overall survival after surgery. CONCLUSIONS: Maxillary swing nasopharyngectomy is an effective salvage procedure for small, persistent or recurrent tumor in the nasopharynx after primary therapy.
DescriptionCongress Theme: Beyond the Limits
This journal suppl. contain abstracts of the European Skull Base Society 11th Congress 2014
Persistent Identifierhttp://hdl.handle.net/10722/201362
ISSN
2015 Impact Factor: 1.079
2015 SCImago Journal Rankings: 0.371

 

DC FieldValueLanguage
dc.contributor.authorChan, JYWen_US
dc.date.accessioned2014-08-21T07:25:25Z-
dc.date.available2014-08-21T07:25:25Z-
dc.date.issued2014en_US
dc.identifier.citationThe 11th Congress of The European Skull Base Society, Paris, France, 26-28 June 2014. In Journal of Neurological Surgery. Part B: Skull Base, 2014, v. 75 n. S02: a004en_US
dc.identifier.issn2193-6331-
dc.identifier.urihttp://hdl.handle.net/10722/201362-
dc.descriptionCongress Theme: Beyond the Limits-
dc.descriptionThis journal suppl. contain abstracts of the European Skull Base Society 11th Congress 2014-
dc.description.abstractBACKGROUND: The aim of the current study was to report our results of salvage nasopharyngectomy using the maxillary swing approach for persistent or recurrent nasopharyngeal carcinoma after primary treatment. METHODS: Between 1989 and 2011, nasopharyngectomies were performed in 312 patients. Data were composed of retrospective review of records of the first 72 patients followed by a prospective collection of data for the remaining patients. RESULTS: Among our patients, 41 (13.1%) had persistent tumors and 271 (86.9%) had recurrent disease. Resection with clear margins was achieved in 248 (79.5%) patients. All patients survived the operations. The median follow-up duration was 34 months. The overall 5-year actuarial local tumor control was 74% and the overall 5-year disease free survival was 56% (rT1: 78; rT2: 62; and rT3: 48%, respectively). On multivariate analysis, tumor size, resection margin status, and gross tumor in sphenoid sinus were independent prognostic factor for local tumor control. For overall survival, resection margin status, synchronous cervical nodal recurrence, and cavernous sinus invasion were shown to have a negative influence on overall survival after surgery. CONCLUSIONS: Maxillary swing nasopharyngectomy is an effective salvage procedure for small, persistent or recurrent tumor in the nasopharynx after primary therapy.-
dc.languageengen_US
dc.publisherThieme Medical Publishers. The Journal's web site is located at https://www.thieme-connect.com/products/ejournals/issue/10.1055/s-004-27203/grouping/030799/10.1055/s-00000181-
dc.relation.ispartofJournal of Neurological Surgery. Part B: Skull Base: an interdisciplinary approachen_US
dc.rightsJournal of Neurological Surgery. Part B: Skull Base: an interdisciplinary approach. Copyright © Thieme Medical Publishers.-
dc.subjectLong term results-
dc.subjectMaxillary swing approach-
dc.subjectNasopharyngeal carcinoma-
dc.subjectPersistent recurrent-
dc.subjectSurgical salvage-
dc.titleCritical appraisal of maxillary swing approach for recurrent nasopharyngeal carcinomaen_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, JYW: jywchan1@hku.hken_US
dc.identifier.authorityChan, JYW=rp01314en_US
dc.identifier.doi10.1055/s-0034-1383910-
dc.identifier.hkuros234075en_US
dc.identifier.volume75-
dc.identifier.issueS02: a004-
dc.publisher.placeUnited States-

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