Resumen. LESCAILLE TORRES, Juan Gualberto. Juvenile nasopharyngeal angiofibroma. Rev Cubana Med Gen Integr [online]. , vol, n.2, pp. PDF | On Apr 2, , Luis Fernando Padilla and others published Angiofibroma nasofaríngeo juvenil: serie de casos del Hospital Universitario. Download Citation on ResearchGate | Angiofibroma nasofaríngeo juvenil: A propósito de un caso | A Caucasian year old boy presenting a relative health .
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Intracranial juvenile nasopharyngeal angiofibroma. Universidade Federal de Sergipe. We analyzed 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and This junction forms the upper margin of the sphenopalatine where lies the nsaofaringeo portion of the middle turbinate.
Angiofibroma nasofaríngeo juvenil
Since then, several cases have been reported, all showing that endoscopic resection resulted in lower morbidity during the early stages of disease Preoperative embolisation of tumour may be of some use in reducing intraoperative bleeding. Methods We analyzed 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Treatment for Nasopharyngeal angiofibroma JNA is primarily surgical.
Moreover, the mean blood loss in these patients was mL. Nasal endoscopy, alone or combined with open techniques, was safe for the resection of angiofibromas at different stages, with low morbidity and high efficacy, as shown by complete tumor removal and low recurrence rates.
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Endoscopic Laser-assisted excision of juvenile nasopharyngeal angiofibromas. Surgical approaches for conventional techniques include transpalatal, transmaxillary, lateral rhinotomy, mid-facial degloving, extended sublabial Denker, and Le Fort type I osteotomy 11 13 20 Longer duration of surgery is associated with greater changes in body homeostasis due to surgical trauma.
Strayer; Emanuel Rubin Open in a separate window.
Tumor recurrence in the long run has been a frustration. We muvenil found that patients who underwent clamping of the external carotid artery and embolization showed less intraoperative bleeding than patients who underwent embolization alone.
Introduction Nasopharyngeal angiofibroma is a histologically and biologically benign tumor with aggressive behavior due to its location and associated symptoms including significant epistaxis and nasal obstruction A biopsy is recommended only in cases of diagnostic uncertainty4. National Center for Biotechnology InformationU. From a triangular region formed by the foramen ovale, a round and lacerated tumor may reach the middle fossa, migrating to the parasellar region and remaining generally extradual and lateral to the cavernous sinus.
All these procedures lead to changes in the growth of the midface and craniofacial deformities even because of osteotomies performed during these procedures. Of our 20 nasofarigneo, only 2 underwent surgery without clamping of the external carotid arteries, with both showing more bleeding than the 18 who underwent surgery with clamping.
The tumor invades the nasal sinuses or the pterygomaxillary fossa with bone destruction. Definitive Radiotherapy for Juvenile Nasopharyngeal Angiofibroma.
Nasopharyngeal angiofibroma: our experience and literature review
Improvements in surgical techniques are designed to shorten surgical time and thereby reduce patient morbidity. The tumors are frequently located in the posterolateral wall of the nasal cavity, where the sphenoid process of the palatine bone articulates with the base of the pterygoid process, forming the sphenopalatine foramen.
Oronasal fistula a possible complication of preoperative embolization in the management of juvenile nasopharyngeal angiofibroma.
Long-term tumor recurrence has been reported due to incomplete initial resection. Over the past 10 years the treatment of this disease has been discussed with the aim of designing a management protocol. The first description of an endoscopic resection was published in This page was last edited on 29 Septemberat External carotid clamping has been shown to assist in hemostasis of the nasofaringro.
To minimize complications, surgery should be performed at centers with extensive experience. All JNA patients were male. To retrospectively describe our experience in the diagnosis and treatment of patients with juvenile nasopharyngeal angiofibroma. All patients were male, and all had symptoms of progressive nasal obstruction and recurrent epistaxis.
Surgery of cranial base tumors.