Alves F RA, Granato L, Maia M S. Acessos Cirúrgicos no Angiofibroma Nasofaríngeo Juvenil – Relato de caso e revisão de literatura. Arch Otolaryngol Head. Juvenile angiofibroma (JNA) is a benign tumor that tends to bleed and occurs in the nasopharynx of prepubertal and adolescent males. Transcript of ANGIOFIBROMA JUVENIL NASOFARINGEO. Estadio I – tumor confinado a la nasofaríngeo. Estadio II – tumor extendido a la.
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Am J Clin Oncol. A biopsy is recommended only in cases of diagnostic uncertainty4. The other 17 patients underwent endoscopic surgery alone.
New author database being installed, click here for details. The tumor invades the infratemporal fossa or orbit with intracranial extradural commitment.
Nasopharyngeal angiofibroma: Our experience and literature review
The classic triad of epistaxis, unilateral nasal obstruction, and a mass in the nasopharynx suggests a diagnosis of nasopharyngeal angiofibroma and is supplemented by imaging 11,12,13,14, The tumor invades the nasal sinuses or the pterygomaxillary fossa with bone destruction. Sanchez de Guzman G. In addition, preoperative embolization may complicate the identification of the full extent of surgical margins by reducing the tumor size and increasing the risk of relapse Received Aug 21; Accepted Oct 7.
Nasofaringwo trends in patients during 40 years. Introduction Nasopharyngeal angiofibroma is a histologically and biologically benign tumor with aggressive behavior nadofaringeo to its location and associated symptoms including significant epistaxis and nasal obstruction Int J Pediatr Otorhinolaryngol.
See staging of juvenile nasopharyngeal angiofibromas. Retrospective, descriptive study conducted after approval from the Ethics Committee of the Federal University of Sergipe protocol The tumor is limited to the sphenopalatine foramen, nasopharynx, and nasal cavity without bone destruction.
Methods We analyzed 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Intracranial juvenile nasopharyngeal angiofibroma. All patients were classified radiologically and surgically according to the Fisch system.
Nasopharyngeal angiofibroma: our experience and literature review
Intraoperative control of nasofarinheo during the resection of nasopharyngeal angiofibromas can be achieved successfully by temporary clamping of the external carotid arteries in the neck Anviofibroma Blog Go ad-free.
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.
Juvenile nasopharyngeal angiofibroma originates in the sphenopalatine forame, causing epistaxes and nasal obstruction. The volume of intraoperative bleeding has been shown to be similar in patients with and without embolization 34whereas tendency to relapse was greater in patients undergoing embolization.
These tests have led to the formulations of multiple classification methods, including the FischR adkowskiA ndrewsB remerand A ntonelli methods 1 4 5 7 8. The presentation is typically with obstructive symptoms, epistaxisand chronic otomastoiditis due to obstruction of the Eustachian tube.
Angiofibroma nasofaríngeo juvenil
Arterial embolization in the management of posterior epistaxis. Similarly, our patients ranged in age from 10 to 29 years, with a mean age of angiofkbroma years, and all were male.
To minimize complications, surgery should be performed at centers with extensive experience. Juvenile nasopharyngeal angiofibroma is a rare, highly vascular, and histologically benign tumor, generally observed in male adolescents.
The other 17 patients required only endoscopic surgery.
The 3 patients who underwent combined surgeries experienced intraoperative bleeding, requiring nasal packing and replacement of blood products during surgery. To retrospectively describe our experience in the diagnosis and treatment of patients with juvenile nasopharyngeal angiofibroma. Intraoperative control of bleeding during the resection of nasopharyngeal angiofibromas can be achieved successfully by temporary clamping of the external carotid arteries in the neck Open in a separate window.
The other 17 patients underwent endoscopic surgery alone. Find articles by Arlete Cristina Granizo Santos. Maurice M, Milad M. External carotid clamping has been shown to assist nasofaringso hemostasis of the tumor. Conclusion 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.
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 angiofibromw, craniotomy, and endoscopic surgery Figure 4.
The tumor invades the infratemporal fossa or orbit with intracranial extradural commitment. Nasopharyngeal carcinoma Nasopharyngeal carcinoma. Retrieved 29 June