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Nasopharyngectomy with operating microscope: A case series.

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Open nasopharyngectomy with operating microscope (NOM) via maxillary swing improves visualization for nasopharyngeal tumor resection. This approach achieves adequate margins and fewer complications in locally invasive cases.

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Nasopharyngectomy is challenging due to difficult access to the nasopharynx.
  • Two novel approaches, robotic nasopharyngectomy and open nasopharyngectomy with operating microscope (NOM) via maxillary swing, were introduced.
  • This study focuses on the utility of NOM via maxillary swing.

Purpose of the Study:

  • To propose and evaluate the novel approach of NOM via maxillary swing for nasopharyngeal tumor resection.
  • To assess the visualization benefits of NOM for locally invasive nasopharyngeal tumors.
  • To report surgical outcomes and provide operative pearls for NOM via maxillary swing.

Main Methods:

  • Retrospective review of four patients who underwent NOM via maxillary swing.
  • Analysis of clinical characteristics and surgical outcomes.
  • Discussion of operative setup and patient selection criteria.

Main Results:

  • All four patients had negative intraoperative frozen sections and subsequent paraffin sections.
  • All patients remained disease-free after salvage surgery.
  • The NOM approach facilitated adequate resection margins.

Conclusions:

  • NOM via maxillary swing enhances visualization for open nasopharyngectomy.
  • This technique aids in achieving adequate resection margins for locally invasive nasopharyngeal tumors.
  • NOM via maxillary swing may lead to fewer surgical complications.