Endoscopic Evaluation of the Local Complications after Radiotherapy and Radiochemotherapy for Nasal Cavity, Nasopharynx Neoplasms

Objectives:Determine complications of the radiotherapy or radiochemotherapy in patients with nasal cavity, pharynx and soft palate neoplasms in endoscopic examination.Methods:Out of 184 patients for nasal cavity, pharynx or soft palate neoplasm, 65 patients with previous surgical intervention were excluded from the study. Group of 119 patients (19-87 years old) were evaluated endoscopically in the Head and Neck Cancer Department of the Memorial Cancer Center in Warsaw between 2000 and 2012. Follow up was from 30 days up to 12 years. 115 patients were treated for cancer, 1 for sarcoma and 3 for melanoma. Nasopharynx was a primary localization in 74 cases, nasal cavity in 9 cases, soft palate in 4 cases. In 32 cases there were metastases to the regional lymph nodes without the primary focus. 31 patients were treated by radiotherapy, and 88 by radiochemotherapy.Results:The following complications were diagnosed: 47 skin and mucosal reactions, 23 permanent nasal cavity obturations, 11 hearing impairments, 6 e...