What are the surgical methods for nasopharyngeal carcinoma
summary
A friend always carries a lot of toilet paper when she goes out recently, because she always has a runny nose and feels stuffy all the time. The doctor says it's nasopharyngeal carcinoma and can be operated on. Let me talk about the operation methods for nasopharyngeal carcinoma.
What are the surgical methods for nasopharyngeal carcinoma
First, resection of the primary focus of nasopharyngeal carcinoma. The surgical treatment of nasopharyngeal carcinoma requires incision and intubation on the trachea of the patient, and the patient needs general anesthesia. A incision was made along the upper palatal root 0.5cm away from the alveolar bone. A small amount of hard crotch plate and vomer bone were removed. At the junction of soft and hard palate, the nasal floor mucosa was transected to expose the anterior wall and tumor on both sides of the top wall of the nasopharynx cavity. After the nasal septum and the upper part of the posterior nostril, the nasopharynx mucosa was cut to know the position of the bone surface From then on, along the patient's nasopharynx top side of the junction began to cut, and also cut across the mucosa to remove the entire cancer.
Second, cervical lymph node dissection. Neck lymph node dissection requires that the patient's upper mastoid tip, lower to the upper edge of clavicle, lower edge of upper skull, anterior midline of neck and posterior to the anterior edge of trapezius. The fat connective tissue and lymph nodes in the region were excised, including platysma muscle, internal and external jugular vein, sternocleidomastoid muscle, submandibular gland, accessory nerve and parotid gland.
Third, cervical lymph node dissection. The operation can be used for patients with recurrence of single lymph node or lymph node after radiotherapy. After local anesthesia, the surface skin or subcutaneous tissue of the patient with metastasis was cut, and the metastasis and adjacent normal tissue were removed. The wound could be bandaged slightly after operation.
matters needing attention
The most common treatment of nasopharyngeal carcinoma is surgical treatment, and the surgical method is by no means the only one. The above three surgical methods are common surgical methods for nasopharyngeal carcinoma, and their applicable conditions are different. Patients can choose according to their own conditions.