Endoscopic assisted sublabial and buccolabial incision approach for juvenile nasopharyngeal angiofibroma with extensive infratemporal fossa extension

Management of nasopharyngeal angiofibroma in a 72-year-old male through a sublabial and buccolabial incision approach: A case report and literature review

“…If the location or extension of the tumor is too lateral or inferior to be effectively resected by an endoscopic approach, a combination of endoscopic and open approaches may be considered (17,18). It has previously been reported that an endoscopic-assisted sublabial and buccolabial incision is an optional approach for the removal of an NA with extensive infratemporal fossa extension in youths (6). The present case confirmed that this modified surgery is well tolerated by the elderly.…”

“…The present study reports the case of a 72-year-old male with NA that underwent a successful resection via an endoscopic-assisted sublabial and buccolabial incision approach (6). This case confirms the occurrence of NA in the elderly, and also highlights the potential of an endoscopic-assisted sublabial and buccolabial incision approach for the treatment of NA in elderly patients.…”

“…Large NAs continue to present a considerable surgical challenge (1,6). The optimal treatment for these tumors is gross total resection.…”

Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility

“…25 Anatomical studies have also assessed the use of a Caldwell-Luc approach with an anterior antrostomy, 4 and an endoscopic, sublabial, transmaxillary approach with the maxillary sinus accessed by an anterior (rather than medial) approach, as methods of reaching the infratemporal fossa. 5 Use of the Caldwell-Luc approach, especially for access to the infratemporal fossa, can result in a number of complications, including damage to the anterosuperior alveolar nerve leading to dental denervation, facial swelling, infection, and haematoma.…”

Clinical Characteristics of Recurrent Juvenile Nasopharyngeal Angiofibroma (JNA) After Radiation Therapy

“…However, these surgical approaches may affect facial growth due to extensive soft tissue dissection and multiple osteotomies. It may decrease the morbidity to perform endoscopy in conjunction with a limited open technique including endoscopic assisted antral window approach and Caldwell-Luc or Denker's approach [8].…”