Medicine:Endoscopic nasopharyngectomy

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Short description: Surgical treatment for nasopharyngeal carcinoma
Endoscopic nasopharyngectomy
SpecialtyOtorhinolaryngology

Endoscopic nasopharyngectomy is a form of endoscopic surgery to treat nasopharyngeal carcinoma.[1] This type of cancer is commonly treated with radiation therapy and chemotherapy, but endoscopic operation offers an alternative treatment especially when the radiation therapy fails.[2]

In the early stages oncology, endoscopic surgeries were considered to be radical treatment[3] despite the surgery being minimally invasive.[4] The surgery is effective the treatment of recently diagnosed localized nasopharyngeal cancer for stage I patients.

Patient selection is extremely important in order to avoid surgical complications. Patients diagnosed with rT1 or rT2 tumors, and some rT3 tumors may be candidates for the surgery.[5]

References

  1. Chen, Ming-Yuan; Wen, Wei-Ping; Guo, Xiang; Yang, An-Kui; Qian, Chao-Nan; Hua, Yi-Jun; Wan, Xiang-Bo; Guo, Zhu-Ming et al. (2009). "Endoscopic nasopharyngectomy for locally recurrent nasopharyngeal carcinoma". The Laryngoscope 119 (3): 516–522. doi:10.1002/lary.20133. PMID 19235750. 
  2. PDQ Adult Treatment Editorial Board (2019). "Nasopharyngeal Cancer Treatment (Adult) (PDQ®): Health Professional Version". PDQ Cancer Information Summaries. Bethesda (MD): National Cancer Institute (US). http://www.ncbi.nlm.nih.gov/books/NBK65750/. 
  3. Liu, You-Ping; Xie, Yu-Long; Zou, Xiong; You, Rui; Yang, Qi; Chen, Ming-Yuan (2020). "Techniques of endoscopic nasopharyngectomy for localized stage I nasopharyngeal carcinoma" (in en). Head & Neck 42 (4): 807–812. doi:10.1002/hed.26090. ISSN 1097-0347. PMID 31976616. https://onlinelibrary.wiley.com/doi/abs/10.1002/hed.26090. 
  4. "Surgery for Nasopharyngeal Cancer" (in en). https://nyulangone.org/conditions/nasopharyngeal-cancer/treatments/surgery-for-nasopharyngeal-cancer. 
  5. Monteiro, Eric; Witterick, Ian (2014-09-01). "Endoscopic nasopharyngectomy: Patient selection and surgical execution" (in en). Operative Techniques in Otolaryngology-Head and Neck Surgery. Surgical Approaches to the Parapharynx and Nasopharynx 25 (3): 284–288. doi:10.1016/j.otot.2014.04.010. ISSN 1043-1810. http://www.sciencedirect.com/science/article/pii/S1043181014000335. 

Further reading