title: [Functional and oncologic results of the surgical salvage in the management of recurrent nasopharyngeal carcinomas].
abstract: OBJECTIVE
  To evaluate the indications and results of the surgical salvage in the treatment of recurrent nasopharyngeal carcinoma at the primary site.
  
  
  METHODS
  Twelve patients with biopsy-proven recurrent nasopharyngeal cancer were managed with the subtemporal-preauricular and facial translocation approaches. One patient was staged as having recurrent T stage (rT1) 1 disease; 3 patients, rT2; 2 patients, rT3; and 6 patients rT4.
  
  
  RESULTS
  With a mean follow-up of 3 years, the 3-year actuarial survival rate was 42%. Survival for recurrent T stage was as follows: rT1, 100%; rT2, 67%; rT3, 50%; rT4, 17%. Survival rates for patiens with rT3 and rT4 disease without intracranial disease are 40%.
  
  
  CONCLUSIONS
  Facial translocation and subtemporal-preauricular approaches are versatile surgical techniques for radical resection of nasopharyngeal recurrences with an acceptable morbidity. The long term survival results are encouraging for rT1-rT3 tumors and also for rT4 without intracranial extension of the disease.
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Universidad de Oviedo, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Asturias. kainato@navegalia.com
authors.forename: R
authors.initials: R
authors.lastname: Cabanillas
authors.forename: J L
authors.initials: JL
authors.lastname: Llorente
authors.forename: P M
authors.initials: PM
authors.lastname: Estelrrich
authors.forename: M E
authors.initials: ME
authors.lastname: Martínez-Cassati
authors.forename: V
authors.initials: V
authors.lastname: Franco
authors.forename: C
authors.initials: C
authors.lastname: Suárez
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D016879:Salvage Therapy