Transnasal endoscopic resection of juvenile nasopharyngeal angiofibroma without preoperative embolization.
نویسندگان
چکیده
Juvenile nasopharyngeal angiofibroma (JNA) is a benign, highly vascular, and locally invasive tumor. Because the location of these tumors makes conventional surgery difficult, interest in endoscopic resection is increasing, particularly for the treatment of lesions that do not extend laterally into the infratemporal fossa. We report the results of our series of 23 patients with JNA (stage IIB or lower) who underwent transnasal endoscopic resection under hypotensive general anesthesia without preoperative embolization of the tumor All tumors were successfully excised. The amount of intraoperative blood loss was acceptable. We observed only 1 recurrence, which was diagnosed 19 months postoperatively in a patient with a stage IIB primary tumor. We observed only 3 complications during follow-up-all synechia. We conclude that endoscopic resection of JNAs is safe and effective. The low incidence of recurrence and complications in this series indicates that preoperative embolization may not be necessary for lesions that have not undergone extensive spread; instead, intraoperative bleeding can be adequately controlled with good hypotensive general anesthesia.
منابع مشابه
Juvenile Nasopharyngeal Angiofibroma
Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma (JNA). The prognosis for this disease is extremely good if diagnosed well in time and if the tumor has not extended intracranially. Preoperative selective arterial embolization has decreased intraoperative blood loss and facilitated resection of larger tumors. Transnasal ...
متن کاملCurrent management of juvenile nasopharyngeal angiofibroma: a tertiary center experience 1999-2007.
BACKGROUND Over the past 10 years, the management of juvenile nasopharyngeal angiofibroma (JNA) has been redefined because of the improvement of transnasal skull base techniques. However, the limits of endoscopic resection still have to be fully defined. The purpose of this study was to report on a series of patients presenting with JNA in an effort to further define an optimal treatment algori...
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BACKGROUND Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature revealed very few case reports. This study investigat...
متن کاملExclusively endoscopic removal of juvenile nasopharyngeal angiofibroma: trends and limits.
OBJECTIVE To determine the feasible conditions for exclusive endoscopic resection of juvenile nasopharyngeal angiofibroma. DESIGN Retrospective study of 20 patients, with a mean follow-up of 22 months. SETTING Six academic referral hospitals. INTERVENTIONS All patients had a preoperative computed tomographic or magnetic resonance imaging scan and at least 1 follow-up computed tomographic ...
متن کاملA seven-year experience with patients with juvenile nasopharyngeal angiofibroma.
UNLABELLED Juvenile nasopharyngeal angiofibroma (JNA) is a rare tumor in adolescent males. It originates in the nasopharynx. AIM To present the experience of JNA management at an Otorhinolaryngology Service between 2001 and 2008. MATERIALS AND METHODS Demographical data, clinical presentation, investigations as well as the treatment of sixteen JNA patients were reviewed and collected from m...
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عنوان ژورنال:
- Ear, nose, & throat journal
دوره 85 11 شماره
صفحات -
تاریخ انتشار 2006