• Pathologically confirmed recurrent nasopharyngeal carcinoma

• American Joint Committee on Cancer recurrent rT2(recurrent T2)(including deep parapharyngeal space), recurrent T3, recurrent T4 which can be surgically removed

• Age ≥18 years old

• Informed consent signed

• With or without lymph node metastasis, which can be surgically removed

• No massive hemorrhage risk recently

• No distant metastasis

• ≥6 months from initial radiotherapy to recurrence

• Radical radiation only once

• Sufficient organ function

• Eastern Cooperative Oncology Group score 0-2