Volumetric Analysis of Nasopharyngectomy via Endoscopic Endonasal, Maxillary Transposition, and Lateral Temporal-Subtemporal Approaches

Basit Öğe Kaydı
dc.contributor.authorKapucu, Burak
dc.contributor.authorGun, Ramazan
dc.contributor.authorKirsch, Claudia
dc.contributor.authorMeeks, Darlene
dc.contributor.authorOtto, Bradley A.
dc.contributor.authorPrevedello, Daniel M.
dc.contributor.authorCarrau, Ricardo
dc.date.accessioned2024-04-24T17:08:30Z
dc.date.available2024-04-24T17:08:30Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective:This project develops a computer model that allows volumetric analysis of the exposure afforded by an endonasal-endoscopic approach, maxillary transposition, and lateral temporal-subtemporal approaches during a nasopharyngectomy. The model will demonstrate idiosyncracies of these approaches, including sacrifice of normal tissues, ease of instrumentation, and gate of entry.Subjects and Methods:Computed tomographic scans of an anatomic specimen were used to create computer simulations of the endoscopic endonasal, maxillary transposition, and lateral temporal-subtemporal approaches for T(1)and T-4 nasopharyngeal carcinoma; therefore, allowing assessment of their surgical corridor using Intuition, a software that allows a semiautomated computerized segmented volumetric analysis.Results:The smallest volumes of tissue mobilization or removal were observed during the endoscopic-endonasal nasopharyngectomy. The volumes of tissue mobilization for the maxillary transposition approach were higher than those of lateral temporal-subtemporal approaches.Conclusions:This model adds to our understanding of select surgical corridors to the nasopharynx. It suggests that an endoscopic-endonasal approach requires less manipulation or resection of smaller volumes of normal tissue to expose a nasopharyngeal tumor than the lateral temporal-subtemporal and maxillary transposition approaches. It also, however, requires instrumentation through a smaller entry gate implying greater difficulty. Nonetheless, these factors should not be construed as superiority of one approach over the other. Factors that are important in the choosing of the surgical approach, such as surgeon's training and experience, invasion of neurovascular structures and method of reconstruction are not considered in this model.en_US
dc.description.sponsorshipNational Institutes of Health (NIH); Wellcome Trust; Howard Hughes Medical Institute (HHMI)en_US
dc.description.sponsorshipFunding for this work was received from any of the following organizations: National Institutes of Health (NIH), Wellcome Trust, Howard Hughes Medical Institute (HHMI), and other(s).en_US
dc.identifier.doi10.1097/SCS.0000000000002153
dc.identifier.endpage2141en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue7en_US
dc.identifier.pmid26468798
dc.identifier.scopus2-s2.0-84945197773
dc.identifier.scopusqualityQ3
dc.identifier.startpage2136en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000002153
dc.identifier.urihttps://hdl.handle.net/11468/17362
dc.identifier.volume26en_US
dc.identifier.wosWOS:000367905900022
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndoscopicen_US
dc.subjectMaxillaryen_US
dc.subjectNasopharyngectomyen_US
dc.subjectTemporalen_US
dc.subjectVolumeen_US
dc.titleVolumetric Analysis of Nasopharyngectomy via Endoscopic Endonasal, Maxillary Transposition, and Lateral Temporal-Subtemporal Approachesen_US
dc.titleVolumetric Analysis of Nasopharyngectomy via Endoscopic Endonasal, Maxillary Transposition, and Lateral Temporal-Subtemporal Approaches
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu