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Long-term outcomes of nasopharyngectomy using partial maxillectomy approach
Li Shia Ng1, Chwee Ming Lim1, Kwok Seng Loh2
1Department of Otolaryngology-Head and Neck Surgery, National University Health System, Singapore.
Objectives/Hypothesis:
To determine the long-term outcomes of a prospective cohort of 20 patients who had nasopharyngectomy using an open partial-maxillectomy approach.
Method:
A prospective cohort study of the surgical outcomes of patients with recurrent T1 (rT1) and rT2 nasopharyngeal carcinoma recurrence.
Results:
There were 14 male and six female patients. The mean age was 49 years. The mean duration of follow-up was 60.4 months. All of the surgical margins were free of malignancy. Ten patients (50%) developed recurrences. The 5-year local control rate, disease-free, disease-specific, and overall survivals were 70%, 48.9%, 70.2%, and 66.7%, respectively. There were no major intraoperative complications. The most common morbidity was pain. The median length of hospitalization was 4 days.
Conclusion:
Early local recurrence of nasopharyngeal carcinoma can be treated surgically using a partial maxillectomy approach. The long-term outcomes are similar to nasopharyngectomy performed using the more common approaches.
Level Of Evidence:
4. Laryngoscope, 126:1103-1107, 2016.
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