鼻咽癌复发及鼻内镜外科手术的应用

姜彦

Recurrence of nasopharyngeal carcinoma and application of endoscopic surgery

Yan JIANG

图8 男，鼻咽癌首程根治性放疗后6个月，复发、颅骨坏死、咽鼓管区域液化坏死，顽固性头痛，口鼻恶臭气味(白色箭头指颈内动脉ICA裸露) A-D.术前鼻咽部MR显示右侧鼻咽部组织坏死、局部有液化，颈内动脉破裂孔区受侵犯，骨质缺如；E-H.术后鼻咽部MR显示病变清除。

Fig.8 A man with nasopharyngeal carcinoma showed recurrence, skull necrosis, liquefaction necrosis in the eustachian tube area, intractable headache, mouth and nose odor (white arrow refers to the exposed internal carotid artery), 6 months after the first radical radiotherapy A-D. Preoperative nasopharyngeal magnetic resonance (MR) shows necrosis of the right nasopharynx, local liquefaction, invasion of the internal carotid artery rupture zone, and lack of bone; E-H. Postoperative nasopharyngeal MR shows clearing of the lesion.