title: [Indication for operation in the area of the nasopharynx and the middle of the base of skull (author's transl)].
abstract: For the treatment of malignancies of the nasopharynx and the middle of the base of skull the high voltage irradiation is the therapy of first choice. It can also be used in combination with cytostatic drugs or in the form of synchronization. The indication for operative procedure with functional lesions is given only in few cases. Today, operative approach is only indicated for benign pathological changes. The removal of small benign tumors, posterior conchotomy or hyperplastic tubal elevations can be performed perorally directly looking through a nasopharyngeal endoscope. The same is true for the removal of cicatricial stenoses or mucosal scars. With deformations (choanal atresia) the transpalatinal way of approach is preferred to others. This method is also convenient for large tumors of the nasopharynx, the choanas and middle of the base of skull. If this topographic region is exceeded a large combined operation (transmaxillary, paralateronasal, transpterygoidal, transcygomatical, retro-submandibular) will be necessary. With plastic reconstruction a good functional result can be obtained. This is shown with own examples.
mesh_terms: D000293:Adolescent; D004724:Endoscopy; D005350:Fibroma / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D009298:Nasal Polyps / Q000601:surgery; D009303:Nasopharyngeal Neoplasms / Q000601:surgery; D009305:Nasopharynx / Q000601:surgery*; D010212:Papilloma / Q000601:surgery; D012886:Skull / Q000601:surgery*
vernacular_title: Indikation zu operativen Eingriffen im Bereich des Nasenrachenraumes und der mittleren Schädelbasis