le fort i osteotomy approach for advanced nasopharyngeal angiofibroma with intracranial extension: report of a case
نویسندگان
چکیده
angiofibromas are the most common benign tumors of the nasopharynx, intracranial extension has been reported in approximately 20-25% of cases. intracranial extension may be difficult to treat because of poor exposure that may lead to recurrence. a 16-year-old male patient presented with a 6-month history of nasal obstruction, intermittent epistaxis, right superior orbital fissure syndrome, and proptosis. imaging studies revealed a large right sinonasal mass with significant intracranial and infratemporal extensions. the tumor was resected by le fort i technique because of dissatisfaction with other approaches. postoperative period was uneventful and follow-up visits showed marked improvement in proptosis and ophthalmologic symptoms, without the evidence of tumor recurrence. commonly used to treat facial deformities. the le fort i osteotomy with down fracturing of the entire palate has been adopted as a surgical option in the management of some angiofibromas. compared with other popular techniques, it provides excellent exposure for angiofibromas. the merits and limitations of this approach as well as its details are discussed.
منابع مشابه
Long-term effects of Le Fort I osteotomy for resection of juvenile nasopharyngeal angiofibroma on maxillary growth and dental sensation.
OBJECTIVE To analyze the long-term effects of the Le Fort I osteotomy approach for the resection of juvenile nasopharyngeal angiofibroma (JNA) on maxillary growth and dental sensation. DESIGN Prospective collection of structured data. SETTING Tertiary care academic teaching hospital. PATIENTS Between 1993 and 1998, 5 adolescents (aged 10-14 years) constituted the evaluable cohort among 14...
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عنوان ژورنال:
acta medica iranicaجلد ۴۰، شماره ۴، صفحات ۲۵۶-۲۶۰
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