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Article: Maxillary swing approach for resection of tumors in and around the nasopharynx

TitleMaxillary swing approach for resection of tumors in and around the nasopharynx
Authors
Issue Date1995
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.com
Citation
Archives Of Otolaryngology - Head And Neck Surgery, 1995, v. 121 n. 6, p. 638-642 How to Cite?
AbstractThe efficacy of the anterolateral approach to the nasopharynx and its vicinity was evaluated. Using this maxillary swing approach, we have removed tumors in anti around the nasopharyngeal region in 26 patients. Among them, 18 suffered from recurrent primary nasopharyngeal carcinoma after external radiotherapy, three patients had chordoma, two had schwannoma, one had adenocarcinoma of the nasopharynx, and one had malignant fibrous histiocytoma. The last patient had a recurrent deep-lobe parotid gland tumor localized in the paranasopharyngeal space. The facial wounds in all 26 patients healed primarily with no evidence of necrosis of the maxilla. Seven patients developed palatal fistula, five of them subsequently healed, whereas one patient required surgical closure and one had to wear a dental plate. This group of patients was followed up from 4 to 42 months (median, 15 months). Among the 18 patients with recurrent nasopharyngeal carcinoma, five had local recurrence, four died of other conditions, and nine of them are still alive with no evidence of disease. This gives an actuarial control of tumor in the nasopharynx of 42% at 3.5 years. In the eight patients remaining, one died of recurrent chordoma, two are alive with recurrent disease, and five are free of disease. Exposure of the nasopharynx and the paranasopharyngeal space is possible using the anterolateral approach. The associated morbidity is low.
Persistent Identifierhttp://hdl.handle.net/10722/84073
ISSN
2014 Impact Factor: 2.327
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWei, WIen_HK
dc.contributor.authorHo, CMen_HK
dc.contributor.authorYuen, PWen_HK
dc.contributor.authorFung, CFen_HK
dc.contributor.authorSham, JSTen_HK
dc.contributor.authorLam, KHen_HK
dc.date.accessioned2010-09-06T08:48:36Z-
dc.date.available2010-09-06T08:48:36Z-
dc.date.issued1995en_HK
dc.identifier.citationArchives Of Otolaryngology - Head And Neck Surgery, 1995, v. 121 n. 6, p. 638-642en_HK
dc.identifier.issn0886-4470en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84073-
dc.description.abstractThe efficacy of the anterolateral approach to the nasopharynx and its vicinity was evaluated. Using this maxillary swing approach, we have removed tumors in anti around the nasopharyngeal region in 26 patients. Among them, 18 suffered from recurrent primary nasopharyngeal carcinoma after external radiotherapy, three patients had chordoma, two had schwannoma, one had adenocarcinoma of the nasopharynx, and one had malignant fibrous histiocytoma. The last patient had a recurrent deep-lobe parotid gland tumor localized in the paranasopharyngeal space. The facial wounds in all 26 patients healed primarily with no evidence of necrosis of the maxilla. Seven patients developed palatal fistula, five of them subsequently healed, whereas one patient required surgical closure and one had to wear a dental plate. This group of patients was followed up from 4 to 42 months (median, 15 months). Among the 18 patients with recurrent nasopharyngeal carcinoma, five had local recurrence, four died of other conditions, and nine of them are still alive with no evidence of disease. This gives an actuarial control of tumor in the nasopharynx of 42% at 3.5 years. In the eight patients remaining, one died of recurrent chordoma, two are alive with recurrent disease, and five are free of disease. Exposure of the nasopharynx and the paranasopharyngeal space is possible using the anterolateral approach. The associated morbidity is low.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.comen_HK
dc.relation.ispartofArchives of Otolaryngology - Head and Neck Surgeryen_HK
dc.titleMaxillary swing approach for resection of tumors in and around the nasopharynxen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0886-4470&volume=121&spage=638&epage=642&date=1995&atitle=Maxillary+swing+approach+for+resection+of+tumors+in+and+around+the+nasopharynxen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid7772315-
dc.identifier.scopuseid_2-s2.0-0029043085en_HK
dc.identifier.hkuros3787en_HK
dc.identifier.volume121en_HK
dc.identifier.issue6en_HK
dc.identifier.spage638en_HK
dc.identifier.epage642en_HK
dc.identifier.isiWOS:A1995RC17400007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridHo, CM=7404652540en_HK
dc.identifier.scopusauthoridYuen, PW=7103124007en_HK
dc.identifier.scopusauthoridFung, CF=7102443754en_HK
dc.identifier.scopusauthoridSham, JST=24472255400en_HK
dc.identifier.scopusauthoridLam, KH=7403657342en_HK

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