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Updated: Aug 21, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Effect of salvagy surgeries for nasopharyngeal carcinoma]
Yuehuang Wu1, Yongfa Qi, Pingzhang Tang
1Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical University, Beijing 100021.
Objective:
To explore a reasonable surgical method for improving salvagy surgery of nasopharyngeal carcinoma (NPC).
Method:
25 cases of nasopharyngeal carcinoma with salvagy surgery were reviewed. Surgical accesses include the transcervico-mandibuio-palatal, the maxillary swing approach, the transpalatal approach for removing nasopharyngeal lesion. The pectoralis major muscle flap and galea aponeurotica flap were employed to repair operative defect and protect the critical structure of parapharyngeal space and the skull base.
Result:
The operative complication rate is 16% (4/25), which are local infection and flap putrescence. The postoperative sequela such as cleft palate is slight. 18 cases were followed-up over 3 year and 8 cases died. 2 cases were lost. The 3-year survival rate is 44% (8/18).
Conclusion:
The best operation access should be selected depending on the position and the implicated scope. Safely and fully removal of the tumor and reliably reconstruct are necessary. It is possible to improve salvage surgery effect for NPC patients.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...