Morton R P, Liavaag P G, McLean M, Freeman J L
Department of Otolaryngology, University of Auckland, Green Lane Hospital, New Zealand.
Head Neck. 1996 Jul-Aug;18(4):352-8. doi: 10.1002/(SICI)1097-0347(199607/08)18:4<352::AID-HED7>3.0.CO;2-X.
Local relapse of nasopharyngeal carcinoma is a difficult problem of management that is usually treated by re-irradiation. Surgical salvage is rarely offered, judging by the paucity of reports in the literature.
This article reviews the six previously described methods of performing nasopharyngectomy and recounts experience with a series of seven patients using a transcervico-mandibulo-palatal approach, which is described.
The results of this small series show survivorship and morbidity which seem to compare favorably with other published surgical treatment options.
If retreatment with radiotherapy is not favored, the transcervico-mandibulo-palatal approach may be a suitable method of surgical salvage for small, locally recurrent, nasopharyngeal cancer.
鼻咽癌的局部复发是一个难以处理的问题，通常采用再程放疗进行治疗。从文献报道的稀缺性判断，很少采用手术挽救治疗。
本文回顾了之前描述的六种鼻咽癌切除术方法，并讲述了采用经颈-下颌-腭入路对7例患者进行手术的经验，该入路方法在此处进行了描述。
这个小样本系列的结果显示，其生存率和发病率似乎优于其他已发表的手术治疗方案。
如果不倾向于采用放射治疗进行再治疗，经颈-下颌-腭入路可能是小的、局部复发鼻咽癌手术挽救的合适方法。
