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Manuscript title: the maxillary swing approach - the first Scandinavian experience
Hani Ibrahim Channir1, Magnus Balslev Avnstorp1, Irene Wessel1
1Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Acta Oto-Laryngologica
|March 1, 2021
Summary
The maxillary swing approach is a safe and effective surgical technique for head and neck tumors. This study reports positive patient outcomes and survival rates in Denmark.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Otolaryngology
Background:
- The maxillary swing approach offers optimal surgical exposure for nasopharyngeal and retromaxillary tumors.
- This technique has been utilized in head and neck surgery for three decades.
Purpose of the Study:
- To evaluate the clinical experience, surgical morbidity, and survival outcomes of the maxillary swing approach in Denmark.
- To assess the safety and efficacy of this surgical method in a real-world clinical setting.
Main Methods:
- A retrospective study analyzed data from patients who underwent the maxillary swing approach between January 2012 and January 2020.
- Data collected included baseline and perioperative information, tumor pathology, postoperative morbidity, and survival outcomes.
Main Results:
- Sixteen patients were included; 15 had malignant tumors and one had a benign tumor.
- Short-term morbidities included trismus and hypoesthesia, which significantly improved by 12 months.
- For malignant tumors, 5-year overall survival was 60% and recurrence-free survival was 66.7%.
Conclusions:
- The maxillary swing approach was successfully implemented by a multidisciplinary team in Denmark.
- This procedure is a viable option for salvage surgery of recurrent nasopharyngeal cancers and selected tumors in the nasopharynx/retromaxillary space.
