Endoscopic resection of juvenile nasopharyngeal angiofibroma.

Autores:	Johnson Huang, Raymond Sacks, Martin Forer
Idioma:	Eng.
Fecha:	2009-12-14
Revista:	The Annals of otology, rhinology, and laryngology (0003-4894)
Entrega:	Ann Otol Rhinol Laryngol. 2009 Nov;118(11):764-8
Abstract:	OBJECTIVES: A 2-surgeon technique has been proposed that allows resection of juvenile nasopharyngeal angiofibroma (JNA) with extension into the infratemporal fossa by utilizing a septal incision for passage of a retracting instrument from the opposite nostril. This technique, however, does not overcome the problem of limited space within the nasal cavity for the tumor to be retracted. Therefore, the tumor has to be divided to allow for its removal. We are proposing a different 2-surgeon technique as an alternative operative technique for the resection of JNA. METHODS: A new technique of endoscopic resection of JNA involves a transseptal posterior perforation. This perforation allows retraction of the tumor into the opposite nasal cavity by the second surgeon. The retraction of the tumor creates space for its resection. RESULTS: Nineteen patients (all male) underwent this 2-surgeon technique for resection of JNA. The follow-up period ranged up to 9 years, and no recurrence was recorded. CONCLUSIONS: Longer-term follow-up is needed to assess recurrence rate and morbidity with this technique. However, in our small series, the 2-surgeon technique via posterior septal perforation was associated with low morbidity and recurrence rates.
Copyright:	The Annals of otology, rhinology, and laryngology Department of Ear, Nose and Throat Surgery, Hornsby Hospital, Hornsby, NSW 2077, Australia.
Full text:	DOI - The Annals of otology, rhinology, and laryngology (DOI) EBSCO - HTML (con suscripción) ProQuest Information and Learning - HTML (con suscripción)
Temas:	Adolescente, Adulto, Angiofibroma, NiÑo, Endoscopia, Humanos, Varón, Neoplasmas Nasofaringeos, Tomografia Computarizada Por Rayos X