Endoscopic nasopharyngectomy explained

Endoscopic nasopharyngectomy
Specialty:	Otorhinolaryngology

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]

Further reading

• 10.1097/MLG.0b013e3180381644 . 17473691 . Minimally Invasive Endoscopic Nasopharyngectomy in the Treatment of Recurrent T1-2a Nasopharyngeal Carcinoma . The Laryngoscope . 117 . 5 . 894–896 . 2007 . Chen . Mu-Kuan . Lai . Jui-Chung . Chang . Cheng-Chaun . Liu . Mu-Tai . 7257422 .
• 10.1097/01.MLG.0000165383.35100.17 . 16094136 . Endoscopic Nasopharyngectomy for Patients with Recurrent Nasopharyngeal Carcinoma at the Primary Site . The Laryngoscope . 115 . 8 . 1517–1519 . 2005 . Yoshizaki . Tomokazu . Wakisaka . Naohiro . Murono . Shigeyuki . Shimizu . Yoshinori . Furukawa . Mitsuru . 34866978 .
• 10.1002/hed.21091 . 19360738 . Endoscopic nasopharyngectomy with potassium-titanyl-phosphate (KTP) laser for early locally recurrent nasopharyngeal carcinoma . Head & Neck . 31 . 10 . 1309–1315 . 2009 . Ko . Jenq-Yuh . Wang . Cheng-Ping . Ting . Lai-Lei . Yang . Tsung-Lin . Tan . Ching-Ting . 38727613 . dead . May 21, 2022 . https://web.archive.org/web/20220521190213/http://ntur.lib.ntu.edu.tw/bitstream/246246/233031/1/Endoscopic+nasopharyngectomy+with+potassium-titanyl-phosphate+(KTP)+laser+for+early+locally+recurrent+nasopharyngeal+carcinoma.pdf .
• 10.1002/lary.20958 . 20564602 . Endoscopic nasopharyngectomy for salvage in nasopharyngeal carcinoma: A novel anatomic orientation . The Laryngoscope . 120 . 7 . 1298–1302 . 2010 . Wen . Yi-Hui . Wen . Wei-Ping . Chen . He-Xin . Li . Jian . Zeng . Yu-Hui . Xu . Geng . 13546191 .
• 10.1177/0194599813493073 . 23764963 . Endoscopic Endonasal Nasopharyngectomy in Selected Cancers . Otolaryngology–Head and Neck Surgery . 149 . 3 . 424–430 . 2013 . Castelnuovo . Paolo . Nicolai . Piero . Turri-Zanoni . Mario . Battaglia . Paolo . Bolzoni Villaret . Andrea . Gallo . Stefania . Bignami . Maurizio . Dallan . Iacopo . 11383/1951121 . 1907029 . free .

Notes and References

1. 10.1002/lary.20133 . 19235750 . Endoscopic nasopharyngectomy for locally recurrent nasopharyngeal carcinoma . The Laryngoscope . 119 . 3 . 516–522 . 2009 . Chen . Ming-Yuan . Wen . Wei-Ping . Guo . Xiang . Yang . An-Kui . Qian . Chao-Nan . Hua . Yi-Jun . Wan . Xiang-Bo . Guo . Zhu-Ming . Li . Tian-Ying . Hong . Ming-Huang . 24699793 .
2. Book: PDQ Adult Treatment Editorial Board . PDQ Cancer Information Summaries . 2019 . National Cancer Institute (US) . Bethesda (MD) . Nasopharyngeal Cancer Treatment (Adult) (PDQ®): Health Professional Version. 26389193 .
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. Head & Neck. en. 42. 4. 807–812. 10.1002/hed.26090. 31976616. 210881378. 1097-0347.
4. Web site: Surgery for Nasopharyngeal Cancer. 2020-11-26. nyulangone.org. en.
5. Monteiro. Eric. Witterick. Ian. 2014-09-01. Endoscopic nasopharyngectomy: Patient selection and surgical execution. Operative Techniques in Otolaryngology-Head and Neck Surgery. Surgical Approaches to the Parapharynx and Nasopharynx. en. 25. 3. 284–288. 10.1016/j.otot.2014.04.010. 1043-1810.