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What is the effect of surgical treatment on the treatment of nasopharyngeal?

What is the effect of surgical treatment on the treatment of nasopharyngeal?

(Summary description)2010-5-131resectionofprimarylesionofnasopharyngealcarcinoma(1)indication:TheearlycasesofI,gradeII,andmalignantmixedtumorofnasopharyngealsquamouscellcarcinoma.Thelocalrecurrenceofnasopharyngealcarcinomaafterradiotherapyislimitedtothetopoftheposteriorwallorthetopwalloronlytheedgeofthepharyngealrecessandnootherpartsoftheinvasion,nomouthdifficultphysicalfitnessisstillgood.Radiotherapyhasbeengivenaradicaldose,nasopharyngealprimarytumorhasnotyetdisappearedorappearantiradiationphenomenon,amonthafterthe

What is the effect of surgical treatment on the treatment of nasopharyngeal?

(Summary description)2010-5-131resectionofprimarylesionofnasopharyngealcarcinoma(1)indication:TheearlycasesofI,gradeII,andmalignantmixedtumorofnasopharyngealsquamouscellcarcinoma.Thelocalrecurrenceofnasopharyngealcarcinomaafterradiotherapyislimitedtothetopoftheposteriorwallorthetopwalloronlytheedgeofthepharyngealrecessandnootherpartsoftheinvasion,nomouthdifficultphysicalfitnessisstillgood.Radiotherapyhasbeengivenaradicaldose,nasopharyngealprimarytumorhasnotyetdisappearedorappearantiradiationphenomenon,amonthafterthe

Information

2010-5-13
    1 resection of primary lesion of nasopharyngeal carcinoma
(1) indication:
    The early cases of I, grade II, and malignant mixed tumor of nasopharyngeal squamous cell carcinoma.
    The local recurrence of nasopharyngeal carcinoma after radiotherapy is limited to the top of the posterior wall or the top wall or only the edge of the pharyngeal recess and no other parts of the invasion, no mouth difficult physical fitness is still good.
    Radiotherapy has been given a radical dose, nasopharyngeal primary tumor has not yet disappeared or appear anti radiation phenomenon, a month after the rest of the surgical removal of a month.
(2) contraindications:
    Skull base bone destruction or nasopharyngeal invasion of cranial nerve damage or distant metastasis.
    There are poor liver and kidney function, poor body condition.
    Together with to the nasopharyngeal top bottom hard in the slot (3) operation method: first incision of trachea cannula under general anesthesia surgery, along the roof inside root of tooth from 0.5cm, horseshoe shaped incision and hard hip mucosa submucosal dissection to the soft palate, removing a portion of the hip bone plate and the vomer in hard and soft palate junction, crosscutting nasal mucosa exposed nasopharyngeal cavity wall on both sides of the wall and tumor in the nasal septum and posterior choanal incision of the nasopharyngeal mucosa direct bone surface, blunt or sharp separation along the top side at the junction of the incision of the oropharyngeal and nasopharyngeal posterior wall at the junction, the crosscutting mucosa the nasal pharyngeal parieto mucosa tumor en bloc resection.
2 neck lymph node dissection
(1) indications: nasopharyngeal primary cancer lesions after radiotherapy or chemotherapy has been controlled, the body is in good condition only the left neck residual foci or recurrence of focal range of activities, may consider the neck lymph node dissection.
(2) contraindications:
Residual or recurrent lesions in neck and neck deep tissue adhesion;
Appeared in the distance or the skin of a wide range of invasive;
Old and weak heart lung liver and kidney function fails to correct
(3) resection scope: the lower edge of the mastoid tip, skull, down to the clavicle edge, before the middle line of the neck, to the anterior border of the trapezius muscle. Regional lymph nodes and fatty connective tissue together with the platysma, in lock chunks of pole and accessory nerve and sternocleidomastoid muscles, neck and vein, shoulder hyoid muscle, submandibular gland, parotid gland tissue resection.
    Simple excision of lymph nodes in 3 neck
    For the patients with recurrent cervical solitary lymph nodes who are not sensitive to radiotherapy, the patients with solitary lymph nodes were resected. After local infiltration anesthesia, the skin and subcutaneous tissue of the surface of the tumor was cut and transferred, and the tumor could be slightly compressed after complete resection of the tumor and the surrounding part of the normal tissue.
    Welcome to consult the teshin Health Hotline: 010-51571020

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