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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The other 17 patients required only endoscopic surgery. Several classification methods have been utilized to stage tumors and assist in choosing the appropriate treatment. Surgical treatment of juvenile nasopharyngeal angiofibroma with intracranial extension. Of our 20 patients, 3 required a combination of endoscopic and open surgery, with one, with a Fisch IIIA tumor, having expanded Caldwell-Luc and endoscopic techniques; one, with a Fisch IIIA tumor, undergoing mid-facial degloving and endoscopic surgery; and one, with a Fisch IVA tumor, having mid-facial degloving, craniotomy, and endoscopic surgery Figure 4.
Transcatheter arterial embolization in nasopharyngeal angiofibroma.
Author information Article notes Copyright and License information Disclaimer. Seventeen patients required clamping of the external carotids and tumor embolization. The five patients in this study underwent endoscopic resection four days after arteriography with embolization. Since the division of the tumor was performed preferably the portion of smaller diameter almost always at the height of the sphenopalatine foramen near the side wall of the nasal cavity and dividing this act was carried out only after control of adjacent structures such as jkvenil, middle turbinate angiofibromx lateral nasal wall.
Tratado de otorrinolaringologia 2 Ed.
Nasopharyngeal angiofibroma – Wikipedia
The first patient who underwent surgery in our department had a Fisch I tumor, but did not undergo nasofarigeo or clamping of the external carotid arteries. Juvenile nasopharyngeal angiofibroma is a rare, highly vascular, and histologically benign tumor, generally observed in male adolescents.
Tumor volume was not associated with bleeding in patients with and without clamping. Nasal endoscopy, alone or combined with open techniques, was safe for the resection of angiofibromas at different stages, with low morbidity and high nasofarungeo, as shown by complete tumor removal and low recurrence rates.
DSA digital subtraction angiography of carotid artery to see the extension of tumors naspfaringeo feeding vessels. Int J Pediatr Otorhinolaryngol. The remaining 17 patients, regardless of the tumor classification, underwent embolization and clamping of the external carotid arteries due to better control of bleeding during surgery. The tumor is limited to the sphenopalatine foramen, nasopharynx, and nasal cavity without bone destruction. Because these tumors are benign, metastasis to distal sites does not occur.
We also found that patients who underwent clamping of the external carotid artery and embolization showed less intraoperative bleeding than patients who underwent embolization alone.
We analyzed findings in 20 patients who underwent surgery between and A seven-year experience with patients with juvenile nasopharyngeal angiofibroma. Given the short period of patient follow-up, there were only two nwsofaringeo in two years.
Open in a separate window. Initially used to treat diseases such as non-neoplastic polyps and sinus disease, the development of the technique enabled the excision of benign and malignant tumors located more recently 5. It originates in the nasopharynx.
Nasopharyngeal angiofibroma: Our experience and literature review
Studies comparing surgical treatment with or without embolization have shown that preoperative embolization reduced intraoperative blood loss and the need for replacement of blood products 31 The development of minimally invasive techniques has led to the increased use of endoscopic surgery for the treatment of nasopharyngeal angiofibroma 21making it ideal for tumors confined to the nasopharynx, nasal cavity, and sphenoid sinus with minimal extension into the pterygopalatine fossa 10,12,13,15,18, A angiodibroma is recommended only in cases of diagnostic uncertainty4.
Combined surgery consisting of a craniotomy, degloving, and endoscopic surgery in a patient with a Fisch IVA tumor. Intracranial juvenile nasopharyngeal angiofibroma. Several surgical approaches have been utilized for the removal of nasopharyngeal angiofibromas, including transnasal, transpalatal, transzygomatic, and transcervical accesses, in addition to lateral rhinotomy and mid-facial degloving, with or without extension to the upper lip or concomitant craniotomy 9.
Angiofibroma nasofaríngeo juvenil – Wikipedia, la enciclopedia libre
Similarly, our patients ranged in age from 10 to 29 years, with a mean age of 16 years, and all were male. The 3 patients who underwent combined surgeries experienced intraoperative bleeding, requiring nasal packing and replacement of blood products during surgery.
Retrospective, descriptive study conducted after approval from the Ethics Committee of the Federal University of Sergipe protocol Demographical data, clinical presentation, investigations as well as angiotibroma treatment of sixteen JNA patients were reviewed and collected from medical records from the ORL Service.
Discussion Juvenile nasopharyngeal angiofibromas present almost exclusively in men aged years Squamous-cell carcinoma Adenocarcinoma Mucinous cystadenocarcinoma Large-cell lung carcinoma Rhabdoid carcinoma Sarcomatoid carcinoma Carcinoid Salivary gland—like carcinoma Adenosquamous carcinoma Papillary adenocarcinoma Giant-cell carcinoma. Preoperative embolization was carried out in ten Vascularization arises most frequently from the maxillary artery i.
Of our 20 patients, only 2 underwent surgery without embolization, with nasofarinego 2 showing significantly greater intraoperative bleeding than the 18 patients who underwent embolization.