Document Detail


The use of stereotactic navigation guidance in minimally invasive transnasal nasopharyngectomy: a comparison with the conventional open transfacial approach.
MedLine Citation:
PMID:  12000693     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this paper is to study the efficacy of applying stereotactic navigation guidance to nasopharyngectomy via a minimally invasive transnasal approach as compared with the conventional open transfacial approaches. The nasopharynx is the centre of the anterior skull base, which is remote from the surface of the facial skeleton. It is well known that there are several surgical approaches for access to resect tumours from the nasopharynx. However, the open techniques have been associated with much morbidity and only provide access to, and identification of, the ipsilateral internal carotid artery that forms the lateral boundary and resection limit of the nasopharynx. The coupling of stereotactic navigation guidance and a minimally invasive transnasal approach for nasopharyngectomy allows the surgeon to identify and protect the internal carotid artery bilaterally at the nasopharynx. This technique reduces operating time and morbidity to a minimum and yet is oncologically sound for resecting nasopharyngeal lesions. We compare 15 patients who underwent the stereotactic navigation guidance approach with 20 patients who received a conventional open transfacial approach.
Authors:
E W H To; E H Y Yuen; W M Tsang; E C H Lai; G K C Wong; D T F Sun; D T M Chan; J M K Lam; A Ahuja; W S Poon
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  75     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-05-09     Completed Date:  2002-06-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  345-50     Citation Subset:  AIM; IM    
Affiliation:
Division of Head and Neck-Plastic and Reconstructive Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carotid Artery Injuries / etiology,  prevention & control
Carotid Artery, Internal / radiography
Female
Humans
Male
Middle Aged
Nasopharyngeal Neoplasms / radiography,  surgery*
Neoplasm Recurrence, Local / radiography,  surgery*
Postoperative Complications
Stereotaxic Techniques*
Surgical Procedures, Minimally Invasive / methods
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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