Endoscopic excision of juvenile nasopharyngeal angiofibroma: A case series

Lim, Li Yun; Mohamad, Irfan; Tang, I P

doi:10.1016/j.ejenta.2016.12.007

Cited by 3 publications

(10 citation statements)

References 12 publications

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“…This type of surgery also seems to decrease the rate of recurrence as fingerlike extensions of tumor can be precisely seen with endoscopes [7]. The recurrence rate of 10% is lower than the values reported for the external surgical approach (14.5%).…”

Section: Discussionmentioning

confidence: 74%

“…The recurrence rate of 10% is lower than the values reported for the external surgical approach (14.5%). Thus, the endoscopic technique is at least as good as the external technique regarding the recurrence rate [7].…”

Section: Discussionmentioning

confidence: 99%

“…The lateral approach to the infratemporal fossa may result in trismus, hypesthesia and conductive hearing loss [1]. Endoscopic resection of nasal tumors with many advantages: bone resection is minimized, blood loss is reduced and the normal growth of the adolescent facial skeleton is not altered significantly [4,7]. By the endonasal access, the scar and the manipulation of the soft tissues of the anterior face are avoided.…”

Section: Methodsmentioning

confidence: 99%

“…The operative time and hospital stay are therefore reduced. Another advantage of the endoscopic resection of JNA is the improved, multiangled and magnified view of the tumor limits which facilitates tumor resection [5,7,8,10,11].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, despite its benign nature, JNA should be treated as radically as possible to prevent recurrence which is reported to be between 23 and 27.5% [1,5]. Several staging classification has been proposed, however Radkowski classification has been widely used for its practicality (Table 1) [3][4][5]7].…”

mentioning

confidence: 99%

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Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma: A Case Series

Raji¹,

Dbab²,

R³

et al. 2018

Journal of Otolaryngology Research

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Juvenile Nasopharyngeal Angiofibroma (JNA) is a rare, benign, and highly vascular and locally aggressive tumor that accounts for 0.05% to 0.5% of all head and neck neoplasms generally seen in prepubertal and mainly targeted to male adolescence [1-6]. The tumor originates from the superior edge of the sphenopalatine foramen and advances submucosally, through natural ostia, along canals and nerves and by bone erosion to the infratemporal fossa, pterygoid canal, parasellar region, sphenoid basis and the orbit [1,[4][5][6]. Facial deformity, reduced vision, exopthalmos and opthalmoplegia may develop. Therefore, despite its benign nature, JNA should be treated as radically as possible to prevent recurrence which is reported to be between 23 and 27.5% [1,5]. Several staging classification has been proposed, however Radkowski classification has been widely used for its practicality (Table 1) [3][4][5]7].

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma: A Case Series

Raji¹,

Dbab²,

R³

et al. 2018

Journal of Otolaryngology Research

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A five-year experience in endoscopic endonasal excision of juvenile nasopharyngeal angiofibroma

et al. 2021

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Introduction: Juvenile nasopharyngeal angiofibroma (JNA) is a histological benign but locally aggressive vascular tumour which can invade the base of skull. Aim: This is a retrospective study with the aim to examine the outcome of patients with JNA and endoscopic endonasal excision of tumour at a tertiary center in Malaysia. Material and methods: 9 patients were identified from the medical record office from 2015 to 2019. We review the data on patient demographics, clinical presentations, laboratory investigations, intraoperative blood loss and duration of hospital stay. Results and discussion: 8 patients were male, 1 was female. The average age of diagnosis was 15 (range 11 to 29) years. The commonest chief complaint was recurrent epistaxis, followed by nasal obstruction and nasal discharge. Three patients were at stage I, 4 patients at stage II, 1 patient at stage III and 1 patient at stage IV based on Fisch classification. All patients underwent primary endoscopic endonasal excision of tumour with no vascular, ophthalmological or neurological complication. Seven patients had preoperative embolization done. Average operation time was 137 minutes (range 60–360 minutes). Intraoperative blood lost varied from 500 mL to 1300 mL (mean 777.7 mL). All patients were discharged well with no recurrence. Conclusions: The management of JNA can be challenging. The current shift in management favouring endoscopic endonasal excision of JNA reduces postoperative morbidity. It is possible to be applied on all stages of tumour with good success rate.

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Endoscopic Management of Sinonasal Vascular Tumors Without Embolization: Our Experience with Vessel Ligation

Segovia¹,

Jarin²,

Sucgang³

2022

Philipp J Otolaryngol Head Neck Surg

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Objective: To present our surgical experience and technique in performing endoscopic sinus surgery for vascular sinonasal tumors without pre-operative embolization using intraoperative ligation of the external carotid artery or its distal branches. Methods: Design: Retrospective Series Setting: Tertiary Private Teaching Hospital Participants: Seven Patients Results: Out of 7 patients (5 males, 2 females, aged 12 to 64 years old) with non-embolized vascular sinonasal tumors, 2 had juvenile angiofibroma, 3 had a benign vascular tumor (hemangiopericytoma, hemangioma and a vasoformative solitary fibrous tumor), and 2 had a malignancy (rhabdomyosarcoma, squamous cell carcinoma). Four (57.1%) had external carotid artery ligation, two (28.6%) had internal maxillary artery ligation and one (14.2%) had sphenopalatine artery ligation. The mean intraoperative blood loss was 2447.1 mL (range 900mL to 5,000mL) and average operation duration was 7.6 hours (range 2.9 hours to 14.5 hours). The average amount of transfused blood products was 1785.7mL (zero to 3,000mL). The average hospital stay was 7 days (range 2 to 13 days) with one post-operative complication (ICU admission for hypotension from intraoperative blood loss). Conclusion: Intraoperative ligation of the ECA or its distal branches to disrupt the vascular supply of sinonasal tumors may provide a viable means of preventing excessive intraoperative blood loss in patients with non-embolized vascular sinonasal tumors.

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Endoscopic excision of juvenile nasopharyngeal angiofibroma: A case series

Cited by 3 publications

References 12 publications

Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma: A Case Series

Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma: A Case Series

A five-year experience in endoscopic endonasal excision of juvenile nasopharyngeal angiofibroma

Endoscopic Management of Sinonasal Vascular Tumors Without Embolization: Our Experience with Vessel Ligation

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