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刘 全, 赖 玉, 杨 婧, 张 焕, 孙 希, 顾 瑜, 李 厚, 余 洪, 王 德. [The outcome of transnasal endoscopic total maxillectomy in the treatment of sinonasal adenoid cystic carcinoma]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 37:243-251. [PMID: 36987951 PMCID: PMC10406587 DOI: 10.13201/j.issn.2096-7993.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Indexed: 03/30/2023]
Abstract
Objective:To assess the prognosis of sinonasal adenoid cystic carcinoma with hard palatine invasion treated by transnasal endoscopic total maxillectomy. Methods:Clinical data of twenty-six patients with sinonasal adenoid cystic carcinoma invading hard palatine treated by transnasal endoscopic total maxillectomy between May 2014 and December 2020 was analyzed retrospectively. Survival rate, local recurrence and distant metastasis were analyzed using Kaplan-Meier method. Cox regression was used to investigate the prognosis factors. Masticatory function after maxillectomy has also been assessed using the questionnaire of patients' satisfaction about masticatory function. Results:Margins in 8 patients(30%) were positive. The median time of follow-up was 38 months(6 to 85 months). Twenty-five patients recurred. Four patients died of distant metastasis. The 5-year overall survival rate and relapse-free survival rate was 79.5% and 89.1%, respectively. Independent predictors of outcome on multivariate analysis were positive margin(P=0.018), recurrence(P=0.006) and distant metastasis(P=0.04). Conclusion:Transnasal endoscopic total maxillectomy could be performed for the treatment of the sinonasal adenoid cystic carcinoma with hard palatine invasion. Positive margin, local recurrence and distant metastasis were important predictors for patients' prognosis.
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Affiliation(s)
- 全 刘
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 玉婷 赖
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 婧艺 杨
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 焕康 张
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 希才 孙
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 瑜蓉 顾
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 厚勇 李
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 洪猛 余
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
| | - 德辉 王
- 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科(上海,200031)Department of Otorhinolaryngology Head and Neck Surgery, Eye and ENT Hospital, Fudan University, Shanghai, 200031, China
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