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1 Carotid artery resection and reconstruction in head and neck tumors 倪鑫 1, 郁正亚 2, 黄志刚 1, 马丽晶 1, 房居高 1, 陈晓红 1 首都医科大学附属北京同仁医院 1 耳鼻咽喉头颈外科, 耳鼻咽喉头颈科学教育部重点实验室 ( 首都医科大学 )2 血管外科北京, 中国 OBJECTIVE To discuss the clinical experience of carotid artery resection and reconstruction in surgical management of head and neck tumor with carotid artery involvement. METHODS A total of 7 patients were included in this study, of which three were Shamblin Ⅲ carotid body tumor, two were recurrent laryngeal carcinoma with neck metastasis, and two were recurrent laryngopharyngeal carcinoma with neck metastasis. RESULTS All patients had their carotid artery removed with tumor en bloc and replaced with expanded polytetrafluoroethylene (eptfe) grafts or autogenous saphenous veins. All patients had no complications of central nervous system. Two carotid body tumor patients suffered from paralysis of laryngeal recurrent nerve and Horner's syndrome. Wounds infection and pharyngeal fistulas happened in 3 patients. One patient suffered from carotid artery rupture and reconstruction secondly and one died of tumor recurrence. CONCLUSION Carotid artery resection and reconstruction could improve quality of life and reduce the complication of nervous system in patients with carotid artery involvement.

2 Nasal Endoscopic Managment of Local Recurrent or Persistent Early-stage Nasopharyngeal Carcinoma after Radiotherapy in Southern Chinese Mainland 瞿申红广西壮族自治区人民医院耳鼻咽喉头颈外科南宁, 中国 Nasal Endoscopic Managment of Local Recurrent or Persistent Early-stage Nasopharyngeal Carcinoma after Radiotherapy in Southern Chinese Mainland QU Shen-hong, ENT Department of the People s Hospital of Guangxi Chuang Autonmous region, Nanning, Objective-To investigate the clinical value, superiority, technique, indications and contraindications of trans-nasal endoscopic nasopharyngectomy (TNEN) when used as salvage treatment for early-stage persistent and recurrent nasopharyngeal carcinoma (NPC) after radiotherapy (RT). Hypothesis: Surgical ablation is a viable option for local persistent or recurrent primary NPC after RT under the nasal endoscope because of less operative invasion. Material and Methods-50 patients, suffering from local persistent or recurrent primary NPC after radical radiotherapy, were treated with TNEN and were followed up for more than five years. Results-Local persistent or recurrent primary NPC was successfully radical resected in all patients by TNEN. Two patients had positive surgical margin. No one needed postoperative radiotherapy. During the follow-up of 7-62 months (median, 43 months), no patient had local persistence, 3 had local recurrence. No patients had significant nasal obstruction, perioperative hemorrhoea, and surgical death. The 1-year overall survival rate was 98.0%, 3-year 63.8% and 5-year 33.8%, while the local control of 1-years, 3-years and 5-years was 98.0%, 66.1% and 35.1% respectively respectively. Patients treated for persistent disease had a better local control rate than those treated for recurrent disease. Patients with rt1 disease also had a better outcome after TNEN compared with those with rt2 disease. Conclusions-Our results indicate that TNEN is an effective treatment modality for persistent and recurrent T1-T2 NPC. TNEN provides technical ease, less invasion and faster postoperative rehabilitation for surgical salvage of persistent and recurrent early NPC. The main superiority of TNEN is a better 5-years survival rate and has no acute and chronic side effects, for which may have a favorable impact on quality of patients lives. Key words: Endoscope, Recurrence, Surgery, Nasopharyngeal Carcinoma, Radiotherapy

3 鼻内窥镜下颅底探查术在鼻咽癌放疗后颅底复发中的诊断价值曾亮, 刘宜敏, 卢星, 黄穗乔, 许庚, 黄晓明中山大学附属第二医院耳鼻咽喉头颈外科广州, 中国目的 : 评价鼻内窥镜下颅底探查术在鼻咽癌放疗后颅底复发中的诊断价值方法 : 鼻咽癌放疗后患者 MRI 和 PET-CT 提示颅底复发, 而鼻咽部活检阴性以鼻内窥镜下颅底探查活检术所得的病理结果作为确诊的金标准结果 :2002 年 8 月至 2004 年 10 月间共 10 例鼻咽癌放疗后颅底可疑复发的患者进行了鼻内窥镜下颅底探查活检术从蝶窦底鼻咽顶和斜坡前缘获得的病理证实复发 4 例, 慢性炎症或颅底骨坏死 6 例结论 : 鼻咽癌放疗后患者影像学检查颅底复发或可疑复发, 若鼻咽部活检阴性, 行鼻内窥镜颅底探查术可以提高诊断的准确性, 减少误诊误治

4 口咽癌的三维适形放射治疗邹丽芬, 王胜资上海市复旦大学附属眼耳鼻喉科医院放疗科上海, 中国 [ 目的 ] 回顾性分析复旦大学附属眼耳鼻喉科医院放疗科口咽癌的三维适形放射治疗及其疗效 [ 材料与方法 ] 2003 年 1 月至 2006 年 1 月我科共收治口咽癌 28 例, 所有病例均经病理证实, 并接受三维适形放疗, 其中女性 6 例, 男性 22 例, 年龄岁, 中位年龄 56 岁, 分期其中 I 期 1 例,II 期 3 例,III 期 6 例, IV 期 18 例, 放射剂量 69-73GY,2 例术后放疗剂量分别为 60GY 和 66GY [ 结果 ] 所有口咽癌经过放射治疗获得持续的局控,3 年总生存率为 62.6%. [ 结论 ] 三维适形放射治疗口咽癌是疗效显著, 其毒副反应可以耐受, 结合手术及化疗可以提高疗效

5 现代放疗技术中鼻腔鼻窦恶性肿瘤的综合治疗王胜资张海燕邹丽芬薛林英郭明王雷复旦大学附属眼耳鼻喉科医院放疗科上海中国目的 : 分析三维适形放疗技术条件下鼻腔鼻窦恶性肿瘤的综合治疗及其疗效方法 : 回顾性分析年间在治疗的 200 例鼻腔鼻窦恶性肿瘤患者全部病例采用 CT 模拟定位及三维适形放疗技术结果 : 3 年生存率 : 鼻腔鼻窦癌 > 嗅上皮 ( 嗅母细胞 ) 瘤 > 乳头状瘤癌变 > 腺样囊性癌 > 恶性黑色素瘤 > 胚胎性横纹肌肉瘤, 全身转移发生率 : 胚胎性横纹肌肉瘤 > 恶性黑色素瘤 > 腺样囊性癌 > 乳头状瘤癌变 > 鼻腔鼻窦癌和嗅上皮 ( 嗅母细胞 ) 瘤无病例发生放疗相关的严重后遗症结论 : 预后与病理类型相关以 CT 模拟定位为基础的三维适形放疗技术能很好地保护正常组织

网球 / 排球 1 教师硕士四级男性诊断教研室 1 教师博士或硕士六级本科阶段为临床医学专业, 男士温病教研室 2 教师博士或硕士六级中医专业中医诊断教研室诊断学 / 中医诊

网球 / 排球 1 教师硕士四级男性诊断教研室 1 教师博士或硕士六级本科阶段为临床医学专业, 男士温病教研室 2 教师博士或硕士六级中医专业中医诊断教研室诊断学 / 中医诊校本部工程项目管理或土木工程医学类 / 计算机 / 图书馆专业 1 专技硕士以上六级 1 专技硕士以上六级 1 年以上工程造价管理或现场施工管理经验的 ( 限男性 ) 中医药类专业 1 编辑博士六级医学或生物学专业医学或生物学专业 2 实