Morbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma
Article first published online: 13 JUN 2014
© 2014 Wiley Periodicals, Inc.
Head & Neck
Volume 37, Issue 4, pages 487–492, April 2015
How to Cite
Chan, J. Y. W., Tsang, R. K. Y. and Wei, W. I. (2015), Morbidities after maxillary swing nasopharyngectomy for recurrent nasopharyngeal carcinoma. Head Neck, 37: 487–492. doi: 10.1002/hed.23633
- Issue published online: 24 MAR 2015
- Article first published online: 13 JUN 2014
- Accepted manuscript online: 21 FEB 2014 04:33AM EST
- Manuscript Accepted: 17 FEB 2014
- Manuscript Revised: 25 NOV 2013
- Manuscript Received: 18 SEP 2013
- This work was supported by the Hong Kong UGC Area of Excellence (AOE) scheme.
- recurrent nasopharyngeal carcinoma;
- maxillary swing;
The purpose of this study was to investigate the complications after maxillary swing nasopharyngectomy.
Salvage nasopharyngectomy was performed for 338 patients during 1990 to 2012. Patient and tumor characteristics, perioperative and intraoperative information, and long-term morbidities were analyzed.
There were significantly more patients with locally advanced tumors (rT3 and rT4) operated during the recent study period (2002–2012). However, the mean operative time and blood loss was significantly lower than in the earlier period (1990–2001). There was no hospital mortality. There was a significant reduction in the postoperative trismus and palatal fistula formation. Patients with locally advanced tumor, particularly those who required adjuvant chemoradiation, had a higher chance of facial numbness, nasal blockage, and swallowing problems after surgery.
Salvage nasopharyngectomy via the maxillary swing approach is safe with acceptable long-term morbidities. Prevention of complications associated with surgery, particularly for patients with locally advanced tumors, is crucial to ensure the best outcome of surgery. © 2014 Wiley Periodicals, Inc. Head Neck 37: 487–492, 2015