Objective: In some cases, the exposure and safeguarding of the internal carotid artery (ICA) are not easy by the maxillary swing approach that is used as a mainstay for the removal of nasopharyngeal tumors. To address this issue, we have developed a new combined transcervical and orbitozygomatic approach.
Methods: A nasopharyngeal adenocarcinoma arose in a 52-year-old patient and occupied the right middle skull base extending to the ICA. We first identified and dissected the ICA from the posterolateral part of the tumor using a transcervical approach. Then, the tumor was approached and removed by an orbitozygomatic technique with hemifacial dismasking. The surgical defect was filled using a temporal muscle flap, which was divided into two parts according to the blood supply from either the anterior or the posterior deep temporal artery.
Results: The postoperative course was uneventful and favorable cosmetic results were obtained. The patient has been free of carcinoma for more than 40 months after the surgery.
Conclusion: Our new combined approach might be a good option for selected patients with nasopharyngeal tumors.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.anl.2015.06.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach.
Front Oncol
October 2024
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
The surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here, we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a left neck mass underwent surgery.
View Article and Find Full Text PDF[Clinical effect of secondary LEEP combined with transcervical resection of endocervical tissue for cervical precancerous lesions with positive internal margin after the first LEEP].
Zhonghua Fu Chan Ke Za Zhi
October 2024
Cervical Disease Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Article Synopsis
- The study aims to evaluate the clinical outcomes of a second surgical procedure combining LEEP and transcervical resection in patients with positive endocervical margins after initial LEEP for high-grade cervical lesions.
- A total of 67 patients participated, including those with high-grade squamous intraepithelial lesions (HSIL) and adenocarcinoma in situ (AIS), with follow-up on cytological exams and HPV testing to assess the effectiveness of the second surgeries.
- Results showed a 24% residual HSIL rate and 29% of HSIL patients still had positive margins after the second procedure, highlighting the challenges in completely removing high-grade lesions.
Management of Severe Dysphonia and Dysphagia Following Lateral Skull Base Surgery.
J Voice
October 2024
Department of Otolaryngology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. Electronic address:
Objectives: Lateral skull base surgeries pose a risk of injuring the lower cranial nerves, leading to potential postoperative complications such as dysphonia and dysphagia. Conservative treatments have shown limited efficacy in addressing these resultant voice and swallowing dysfunctions, significantly impacting patient quality of life. This study aims to evaluate the safety and effectiveness of a combined surgical approach involving autologous fat injection laryngoplasty (AFIL) and transcervical cricopharyngeal myotomy (TCPM) in patients suffering from severe dysphonia and dysphagia following lateral skull base surgery.
View Article and Find Full Text PDFSurgical and functional outcomes after salvage oropharyngectomy.
Oral Oncol
December 2024
Department of Otolaryngology, University of Florida, Gainesville, FL, USA; University of Florida Health Cancer Center, Gainesville, FL, USA.
Article Synopsis
- The study examines surgical complications and functional outcomes in patients who underwent salvage oropharyngeal surgery after unsuccessful radiation therapy for recurrent oropharyngeal cancer.
- The analysis included 26 patients, focusing on their dependence on tracheostomy and tube feedings, as well as their ability to maintain oral intake.
- Results showed that while many patients achieved oral intake after a year, a significant number preferred gastric tube feedings for convenience, highlighting the complexities of recovery and patient choices post-surgery.
Application of autologous platelet-rich gel formed by calcium gluconate combined with hormone therapy for endometrial repair after hysteroscopic transcervical resection of adhesion surgery and successful pregnancy: case report and literature review.
Front Med (Lausanne)
September 2024
Department of Gynecology and Obstetrics, Shijiazhuang People's Hospital, Shijiazhuang, China.
Article Synopsis
- * A 34-year-old patient with IUA post-abortion successfully underwent surgery followed by an innovative treatment using autologous platelet-rich gel and hormone therapy, resulting in significant endometrial repair and a successful pregnancy.
- * The use of autologous platelet-rich gel not only aided in the repair of the endometrium but also helped prevent further adhesions, suggesting a promising new approach to treating IUA.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!