Endoscopic nasopharyngectomy

{{Short description|Surgical treatment for nasopharyngeal carcinoma}}

{{Medref|date=February 2022}}

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| specialty = Otorhinolaryngology

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Endoscopic nasopharyngectomy is a form of endoscopic surgery to treat nasopharyngeal carcinoma.{{cite journal |doi=10.1002/lary.20133 |pmid=19235750 |title=Endoscopic nasopharyngectomy for locally recurrent nasopharyngeal carcinoma |journal=The Laryngoscope |volume=119 |issue=3 |pages=516–522 |year=2009 |last1=Chen |first1=Ming-Yuan |last2=Wen |first2=Wei-Ping |last3=Guo |first3=Xiang |last4=Yang |first4=An-Kui |last5=Qian |first5=Chao-Nan |last6=Hua |first6=Yi-Jun |last7=Wan |first7=Xiang-Bo |last8=Guo |first8=Zhu-Ming |last9=Li |first9=Tian-Ying |last10=Hong |first10=Ming-Huang |s2cid=24699793 }} 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.{{cite book |last1=PDQ Adult Treatment Editorial Board |title=PDQ Cancer Information Summaries |date=2019 |publisher=National Cancer Institute (US) |location=Bethesda (MD) |url=http://www.ncbi.nlm.nih.gov/books/NBK65750/ |chapter=Nasopharyngeal Cancer Treatment (Adult) (PDQ®): Health Professional Version|pmid=26389193 }}

In the early stages oncology, endoscopic surgeries were considered to be radical treatment{{Cite journal|last1=Liu|first1=You-Ping|last2=Xie|first2=Yu-Long|last3=Zou|first3=Xiong|last4=You|first4=Rui|last5=Yang|first5=Qi|last6=Chen|first6=Ming-Yuan|date=2020|title=Techniques of endoscopic nasopharyngectomy for localized stage I nasopharyngeal carcinoma|url=https://onlinelibrary.wiley.com/doi/abs/10.1002/hed.26090|journal=Head & Neck|language=en|volume=42|issue=4|pages=807–812|doi=10.1002/hed.26090|pmid=31976616|s2cid=210881378|issn=1097-0347|url-access=subscription}} despite the surgery being minimally invasive.{{Cite web|title=Surgery for Nasopharyngeal Cancer|url=https://nyulangone.org/conditions/nasopharyngeal-cancer/treatments/surgery-for-nasopharyngeal-cancer|access-date=2020-11-26|website=nyulangone.org|language=en}} 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.{{Cite journal|last1=Monteiro|first1=Eric|last2=Witterick|first2=Ian|date=2014-09-01|title=Endoscopic nasopharyngectomy: Patient selection and surgical execution|url=http://www.sciencedirect.com/science/article/pii/S1043181014000335|journal=Operative Techniques in Otolaryngology-Head and Neck Surgery|series=Surgical Approaches to the Parapharynx and Nasopharynx|language=en|volume=25|issue=3|pages=284–288|doi=10.1016/j.otot.2014.04.010|issn=1043-1810|url-access=subscription}}