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J Neurol Surg B Skull Base 2016; 77(02): 182-192
DOI: 10.1055/s-0036-1571840
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Postoperative Imaging and Surveillance in Large Nerve Perineural Spread

Jennifer Sommerville
1   Department of Diagnostic Radiology, Princess Alexandra Hospital, Brisbane, Australia
,
Mitesh Gandhi
2   Department of Diagnostic Radiology, Princess Alexandra Hospital and Queensland Xray, Brisbane, Australia
› Author Affiliations
Further Information

Publication History

Publication Date:
09 February 2016 (online)

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Abstract

We present a review of the imaging surveillance following treatment for large nerve perineural spread in the skull base. The expected appearance and possible complications following surgery and radiotherapy are discussed. Imaging examples of the possible sites of disease recurrence are also presented.

Keywords

magnetic resonance imaging - perineural spread - tumor recurrence - head and neck malignancy - imaging surveillance
 

  • References

  • 1 Manikantan K, Khode S, Dwivedi RC , et al. Making sense of post-treatment surveillance in head and neck cancer: when and what of follow-up. Cancer Treat Rev 2009; 35: 744-753
    CrossrefPubMedGoogle Scholar
  • 2 Mukherji SK, Wolf GT. Evaluation of head and neck squamous cell carcinoma after treatment. AJNR Am J Neuroradiol 2003; 24 (9) 1743-1746
    PubMedGoogle Scholar
  • 3 Loevner LA, Sonners AI, Schulman BJ , et al. Reinterpretation of cross-sectional images in patients with head and neck cancer in the setting of a multidisciplinary cancer center. AJNR Am J Neuroradiol 2002; 23 (10) 1622-1626
    PubMedGoogle Scholar
  • 4 Warren TA, Panizza B, Porceddu SV , et al. Outcomes after surgery and postoperative radiotherapy for perineural spread of head and neck cutaneous squamous cell carcinoma. Head Neck 2014;
    PubMedGoogle Scholar
  • 5 Hermans R. Post-treatment imaging of head and neck cancer. Cancer Imaging 2004; 4 Spec No A: S6-S15
    CrossrefPubMedGoogle Scholar
  • 6 Moore AG, Srinivasan A. Postoperative and postradiation head and neck: role of magnetic resonance imaging. Top Magn Reson Imaging 2015; 24 (1) 3-13
    CrossrefPubMedGoogle Scholar
  • 7 Hudgins PA. Flap reconstruction in the head and neck: expected appearance, complications, and recurrent disease. Eur J Radiol 2002; 44 (2) 130-138
    CrossrefPubMedGoogle Scholar
  • 8 Lell M, Baum U, Greess H , et al. Head and neck tumors: imaging recurrent tumor and post-therapeutic changes with CT and MRI. Eur J Radiol 2000; 33 (3) 239-247
    CrossrefPubMedGoogle Scholar
  • 9 Semiz Oysu A, Ayanoglu E, Kodalli N, Oysu C, Uneri C, Erzen C. Dynamic contrast-enhanced MRI in the differentiation of posttreatment fibrosis from recurrent carcinoma of the head and neck. Clin Imaging 2005; 29 (5) 307-312
    CrossrefPubMedGoogle Scholar
  • 10 Baba Y, Furusawa M, Murakami R , et al. Role of dynamic MRI in the evaluation of head and neck cancers treated with radiation therapy. Int J Radiat Oncol Biol Phys 1997; 37 (4) 783-787
    CrossrefPubMedGoogle Scholar
  • 11 Abdel Razek AA, Kandeel AY, Soliman N , et al. Role of diffusion-weighted echo-planar MR imaging in differentiation of residual or recurrent head and neck tumors and posttreatment changes. AJNR Am J Neuroradiol 2007; 28 (6) 1146-1152
    CrossrefPubMedGoogle Scholar
  • 12 Foltán R, Klíma K, Spacková J, Sedý J. Mechanism of traumatic neuroma development. Med Hypotheses 2008; 71 (4) 572-576
    CrossrefPubMedGoogle Scholar
  • 13 Sommerville J, Gandhi M, Panizza B. Stump neuroma formation following skull base surgery for large nerve perineural spread of tumour. 2016 [Manuscript in preparation]
    PubMedGoogle Scholar
  • 14 Banu MA, Szentirmai O, Mascarenhas L, Salek AA, Anand VK, Schwartz TH. Pneumocephalus patterns following endonasal endoscopic skull base surgery as predictors of postoperative CSF leaks. J Neurosurg 2014; 121 (4) 961-975
    CrossrefPubMedGoogle Scholar
  • 15 Teng MS, Futran ND. Osteoradionecrosis of the mandible. Curr Opin Otolaryngol Head Neck Surg 2005; 13 (4) 217-221
    CrossrefPubMedGoogle Scholar
  • 16 Shah R, Vattoth S, Jacob R , et al. Radiation necrosis in the brain: imaging features and differentiation from tumor recurrence. Radiographics 2012; 32 (5) 1343-1359
    CrossrefPubMedGoogle Scholar
  • 17 Offiah C, Hall E. Post-treatment imaging appearances in head and neck cancer patients. Clin Radiol 2011; 66 (1) 13-24
    CrossrefPubMedGoogle Scholar
  • 18 Hudgins PA, Burson JG, Gussack GS, Grist WJCT. CT and MR appearance of recurrent malignant head and neck neoplasms after resection and flap reconstruction. AJNR Am J Neuroradiol 1994; 15 (9) 1689-1694
    PubMedGoogle Scholar
  • 19 Barnett CM, Foote MC, Panizza B. Cutaneous head and neck malignancies with perineural spread to contralateral cranial nerves: an argument for extending postoperative radiotherapy volume. J Clin Oncol 2013; 31 (18) e291-e293
    CrossrefPubMedGoogle Scholar
  • 20 Lin C, Tripcony L, Keller J, Poulsen M, Dickie G. Cutaneous carcinoma of the head and neck with clinical features of perineural infiltration treated with radiotherapy. Clin Oncol (R Coll Radiol) 2013; 25 (6) 362-367
    CrossrefPubMedGoogle Scholar
  • 21 Balamucki CJ, Mancuso AA, Amdur RJ , et al. Skin carcinoma of the head and neck with perineural invasion. Am J Otolaryngol 2012; 33 (4) 447-454
    CrossrefPubMedGoogle Scholar