Page 19 - Head and neck surgery

Challenge in the surgical management of PE

tumour lies in its deep-seated location

behind the manubrium bone (M) in close
proximity to great vessels in the lower neck

and superior mediastinum.

Scarring from previous surgery and/or

radiotherapy further increases the
complexity of surgery.

Last but not least, many of these patients are
nutritionally deprived with poor lung

function. This in turn increases operative

risks.