Combined transnasal endoscopic and transoral robotic resection of recurrent nasopharyngeal carcinoma
Version of Record online: 17 MAR 2011
Copyright © 2011 Wiley Periodicals, Inc.
Head & Neck
Volume 34, Issue 8, pages 1190–1193, August 2012
How to Cite
Yin Tsang, R. K., Ho, W. K. and Wei, W. I. (2012), Combined transnasal endoscopic and transoral robotic resection of recurrent nasopharyngeal carcinoma. Head Neck, 34: 1190–1193. doi: 10.1002/hed.21731
- Issue online: 19 JUL 2012
- Version of Record online: 17 MAR 2011
- Manuscript Accepted: 22 DEC 2010
- transoral robotic surgery;
- transnasal endoscopic surgery;
- nasopharyngeal carcinoma;
- salvage surgery
We report a case of resecting a recurrent nasopharyngeal carcinoma using a combined technique of transoral robotic surgery and transnasal endoscopic surgery.
A small recurrent tumor was located in the roof of the nasopharynx. The inferior part of the resection was performed with a da Vinci surgical robot transorally after splitting the soft palate to expose the nasopharynx. The superior part of the resection, including removal of the anterior wall and floor of the sphenoid was performed transnasally under endoscopic vision.
The tumor was removed enbloc with the sphenoid sinus wall with clear resection margin. Recovery was uneventful and the patient had minimal morbidity from the operation.
For minimally invasive surgery to resect recurrent nasopharyngeal carcinoma, transnasal endoscopic surgery and transoral robotic surgery compliments each other, allowing improved resection. © 2011 Wiley Periodicals, Inc. Head Neck, 2012