[Surgical approach analysis of endoscopic resection of juvenile nasopharyngeal angiofibroma].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 37(7): 556-561, 2023 Jul.
Article
in Zh
| MEDLINE
| ID: mdl-37549948
Objective:To investigate the surgical approach for the resection of juvenile nasopharyngeal angiofibromaï¼JNAï¼ under nasal endoscopy. Methods:The clinical data of 87 patients undergoing endoscopic resection of nasopharyngeal fibroangioma were retrospectively analyzed. We classified JNA according to tumor site, size, invasion scope and anatomic position relationship between tumor and midline of pupil. Three endoscopic surgical approaches were selected according to the classification, and the postoperative symptoms, complications and recurrence were investigated and analyzed. Results:The tumor resection rate of 87 cases by nasal endoscopic surgery was 100%. Thirty-five cases were approached through the middle nasal passageï¼small tumors located in the nasal sinuses and pterygopalatine fossaï¼, forty-five cases were approached through the lateral wall of the nasal cavityï¼tumor invaded the pterygopalatine fossa but did not exceed the midline of the pupilï¼ , and seven cases were approached via the lateral wall of nasal cavity + ipsilateral anterior wall of maxillary sinusï¼tumor invaded the infratemporal fossa beyond the midline of pupil or invaded the cavernous sinus and the middle cranial fossa epiduralï¼, Postoperative patients with nasal congestion, nasal bleeding, headache, dizziness, vision loss and other symptoms showed varying degrees of improvement. No surgical death or intracranial infection occurred. The postoperative follow-up was 6-78 months, and the recurrence rate was 3.44%. Conclusion:Endoscopic resection of nasopharyngeal fibroangioma is the main treatment method for JNA. Selecting suitable endoscopic approach to resect JNA, To maximize the advantage of nasal endoscopic equipment according to the inherent anatomical space of the human nasal cavity, In order to achieve the purpose of JNA resection, reduce intraoperative and postoperative complications, reduce the recurrence rate and improve the prognosis.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Nasopharyngeal Neoplasms
/
Angiofibroma
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Humans
Language:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Year:
2023
Document type:
Article
Country of publication: