Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 192-196 |
| Number of pages | 5 |
| Journal | Auris Nasus Larynx |
| Volume | 43 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 1 2016 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Otorhinolaryngology
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Combined transcervical and orbitozygomatic approach for the removal of a nasopharyngeal adenocarcinoma. / Masuda, Muneyuki; Fukushima, Junichi; Fujimura, Akiko; Uryu, Hideoki.
In: Auris Nasus Larynx, Vol. 43, No. 2, 01.04.2016, p. 192-196.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Combined transcervical and orbitozygomatic approach for the removal of a nasopharyngeal adenocarcinoma
AU - Masuda, Muneyuki
AU - Fukushima, Junichi
AU - Fujimura, Akiko
AU - Uryu, Hideoki
PY - 2016/4/1
Y1 - 2016/4/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=84959139200&partnerID=8YFLogxK
U2 - 10.1016/j.anl.2015.06.006
DO - 10.1016/j.anl.2015.06.006
M3 - Article
AN - SCOPUS:84959139200
VL - 43
SP - 192
EP - 196
JO - Auris Nasus Larynx
JF - Auris Nasus Larynx
SN - 0385-8146
IS - 2
ER -