Endoscopic transoral approach nasopharyngectomy for petroclival and jugular foramen nasopharyngeal carcinoma.
10.3760/cma.j.cn115330-20220708-00426
- Author:
Huan Kang ZHANG
1
;
Jing LI
2
;
Xiao Wen JIANG
3
;
Shuai LI
4
;
Kai XUE
1
;
Xi Cai SUN
1
;
Quan LIU
1
;
Ye GU
5
;
Wan Peng LI
1
;
Xiao Le SONG
1
;
Hong Meng YU
6
Author Information
1. Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China.
2. Department of Otorhinolaryngology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
3. Department of Otorhinolaryngology, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital), Shenzhen 518052, China.
4. Department of Otorhinolaryngology, Jiangmen Central Hospital of Guangdong Province, Jiangmen 529030, China.
5. Department of Neurosurgery, Eye & ENT Hospital, Fudan University, Shanghai 200031, China.
6. Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China Research Units of New Technologies of Endoscopic Surgery in Skull Base Tumor, Chinese Academy of Medical Sciences (2018RU003), Shanghai 200031, China.
- Publication Type:Journal Article
- MeSH:
Male;
Female;
Humans;
Adult;
Middle Aged;
Aged;
Nasopharyngeal Carcinoma;
Jugular Foramina;
Neoplasm Recurrence, Local;
Endoscopy/methods*;
Nasopharyngeal Neoplasms/surgery*
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2023;58(1):21-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To describe a technique of endoscopic transoral approach nasopharyngectomy for petroclival and jugular foramen nasopharyngeal carcinoma, based on anatomic studies and surgeries. Methods: Three dry human skulls and five fresh human cadaver heads were used for anatomic study of a endoscopic transoral approach to expose petroclival and jugular foramen. The anatomical landmarks and the extent of exposure were recorded. Six clinical cases who were treated in Eye & ENT Hospital, Fudan University from June 2020 to April 2022 were used to illustrate the technique and feasibility of this approach and to assess its indications and advantages, including 3 males and 3 females, aged 42 to 69 years old. Descriptive analysis was used in this research. Results: On the basis of the preservation of the internal pterygoid muscle and the external pterygoid muscle, this approach could fully expose the parapharyngeal, petrosal and paraclival segment internal carotid arteries, and safely deal with the lesions of jugular foramen and petroclival region. The 6 patients in our study tolerated the procedure well. Postoperative enhanced MRI showed complete resection of the tumor and no postoperative masticatory dysfunction. Conclusion: Endoscopic transoral approach is a safe, minimally invasive and effective surgical treatment for petroclival and jugular foramen recurrent nasopharyngeal carcinoma.
