Juvenile nasopharyngeal angiofibromas (JNA) are a rare benign but locally aggressive vascular tumor. Epidemiology Juvenile nasopharyngeal angiofibromas. Juvenile angiofibroma (JNA) is a benign tumor that tends to bleed and occurs in the nasopharynx of prepubertal and adolescent males. Home» Acta Otorrinolaringológica Española» Comprar Tratamiento quirúrgico del angiofibroma nasofaríngeo juvenil en pacientes pediátricos.
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Plain radiographs no longer play a role in the workup of a suspected juvenile nasopharyngeal angiofibroma, however they may still be obtained in some instances during the assessment of nasal obstruction, or symptoms of sinus obstructions. Nasal endoscopy, alone or nasofarnveo with open techniques, was safe for the resection of angiofibromas at different stages, with low morbidity and high efficacy, nasofarnyeo shown by complete tumor removal and low recurrence rates.
A comparative study of surgical approches.
Nasopharyngeal angiofibroma – Wikipedia
Nasopharyngeal angiofibroma is a histologically and biologically benign tumor with aggressive behavior due to its location and associated symptoms including significant epistaxis and nasal obstruction 1 2 3 4 5. Angiofibroma — rewiew of cases. Endoscopic Surgery for Juvenile Angiofibroma: Discussion Juvenile nasopharyngeal angiofibromas present nasogarngeo exclusively in men aged years Findings are similar to those described above.
A comparative study of surgical approches. We analyzed 20 angiocibroma with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Biopsy should be avoided as to avoid extensive bleeding since the tumor is composed of blood vessels without a muscular coat.
nasofarngwo Tumors may invade the anterior fossa through the ethmoid and sphenoid sinuses, being more frequent in the middle fossa and remaining extradural 8 9 Am J Clin Oncol.
Exclusively endoscopic removal of juvenile nasopharyngeal angiofibroma: Direct intratumoral embolization of juvenile angiofibroma.
Angiofibroma nasofaríngeo juvenil
Many studies highlight the benefit of preoperative arterial embolization to control bleeding intraoperative 16,29, Open in a separate window. It is, as the name juvenul, very vascular and a biopsy can sometimes be fatal. Received Aug 21; Accepted Oct 7. Nasal cavity, paranasal sinuses, nasopharynx Other tumors Nasopharyngeal angiofibroma Author: Because these tumors are benign, metastasis to distal sites does not occur.
Nasopharyngeal angiofibroma: Our experience and literature review
Factors analyzed include patient age and gender, symptoms, stages, treatment, length of surgery, intraoperatory bleeding, postoperative need for nasal tampons, nasofarhgeo time, complications, and tumor recurrence. Mesothelioma Malignant solitary fibrous tumor. Juvenile nasopharyngeal angiofibromas are benign but highly vascular tumours.
Article accepted in October 7, Arch Otolaryngol Head Neck Surg. 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 nsofarngeo the pterygopalatine fossa 10,12,13,15,18, A biopsy is recommended only in cases of diagnostic uncertainty4.
The other 17 patients underwent endoscopic surgery alone. Recent advances anglofibroma the treatment of juvenile angiofibroma.
ANGIOFIBROMA JUVENIL NASOFARINGEO by renzo paredes terrones on Prezi
New author database being installed, click here for details. There is marked contrast enhancement following administration of contrast, reflecting the prominent vascularity. Intracranial juvenile nasopharyngeal angiofibroma. The third patient with a Fisch I tumor underwent surgery with embolization, but without clamping of the external carotid arteries.
All patients were male, and all had symptoms of progressive nasal obstruction and recurrent epistaxis.
Retrospective, descriptive study conducted after approval naeofarngeo the Ethics Committee of the Federal University of Sergipe protocol The first description of an endoscopic resection was published in Intraoperative control of bleeding during the resection of nasopharyngeal angiofibromas can be achieved successfully by temporary clamping juvenjl the external carotid arteries in the neck Intracranial juvenile nasopharyngeal angiofibroma.
Of our 20 patients, only 2 underwent surgery without clamping of the external carotid arteries, with both showing more bleeding than the 18 who underwent surgery with clamping.
Seventeen patients required clamping of the external carotids and tumor embolization. We analyzed findings in 20 patients who underwent surgery between and Evaluation of the effectiveness of preoperative embolization in surgery for nasopharyngeal angiofibroma. Long-term tumor recurrence has been reported angiofivroma to incomplete initial resection. Sign up for our Email Newsletters. Sociedade Brasileira de Otorrinolaringologia.
Methods We juvehil 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Of nasofarnego 20 patients, 3 had surgery by combined approaches conventional and endoscopicincluding 1 patient with a Fisch IIIA tumor who was treated by the Caldwell-Luc expanded technique and endoscopic surgery, 1 patient with a Fisch IIIA tumor who was treated by the degloving mid-facial technique and endoscopic surgery, and 1 with a Fisch IV tumor who was treated by the degloving mid-facial technique associated with craniotomy and endoscopic surgery.
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