Exclusively Endoscopic Surgery for Juvenile Nasopharyngeal Angiofibroma

Andrade, Nilvano Alves de; Pinto, José Antônio; Nobrega, Monica De Oliveira; Aguiar, José Estelita P.; Aguiar, Tâmara Ferraro A.P.; Vinhaes, Eriko

doi:10.1016/j.otohns.2007.03.003

Cited by 60 publications

(41 citation statements)

References 16 publications

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“…A number of authors have compared endoscopic resection of a juvenile angiofibroma with the open surgical approaches and have found endoscopic resection to be safe and effective, with similar recurrence rates. 17,21 Furthermore, patients undergoing endoscopic resection demonstrated fewer complications, less operative blood loss, and shorter hospital stays. 17 Tumor resection in our series was from an endoscopic approach in 7 cases and from a standard open surgical approach in 2 cases.…”

Section: Discussionmentioning

confidence: 99%

Preliminary Experience with the Percutaneous Embolization of Juvenile Angiofibromas Using Only Ethylene-Vinyl Alcohol Copolymer (Onyx) for Preoperative Devascularization Prior to Surgical Resection

Gemmete

Patel²,

Pandey³

et al. 2012

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

Preliminary Experience with the Percutaneous Embolization of Juvenile Angiofibromas Using Only Ethylene-Vinyl Alcohol Copolymer (Onyx) for Preoperative Devascularization Prior to Surgical Resection

Gemmete

Patel²,

Pandey³

et al. 2012

AJNR Am J Neuroradiol

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“…Endoscopic surgery is becoming a promising approach for early stage growth mainly I and II. The main advantage of endoscopic surgery is the possibility of obtaining a broad view of the lesion and its anatomic relationship with adjacent structures, promoting more accurate, complete dissection and better control of bleeding [9][10][11]. Other advantages include less surgical time, hospitalization, absence of visible scars, avoids complication such as epiphora, dysesthesia, trismus, and craniofacial deformities [10,[12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Tiwari

Teron

Saikia

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, uncapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and postoperative care including radiotherapy. Study the changing trend basically in the north-eastern region of south-east Asia and its prospects. Retrospective study of patients presenting with JNA between the study period of 6 months (October 2014-March 2015 in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India. Incidence in comparison to previous studies has increased. Eight patients were treated in the study period. Different approaches were used. Mean age of presentation was 18 years and more than 75 % of them were either Stage III or Stage IV. Different approaches like transpalatine, transpalatine along with transnasal, lateral rhinotomy and endoscopic surgery were used. The recurrence rate was 12.5 %. Surgery by transpalatine approach should be the choice of treatment. Endoscopic resection should be only used for Stage I or Stage II disease.

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“…In the present study complete tumour removal was achieved in all the operated cases. Preoperation embolization results in less intraoperative blood loss (\1000 ml) and lower subsequent requirement for blood transfusion [11][12][13]. In our study it was found very effective since the blood loss estimated was 300-1200 ml (average 630 ml).…”

Section: Discussionmentioning

confidence: 46%

Nasopharyngeal Angiofibroma: Paradigm Shift in Management

Latoo

Hamid

Jallu

et al. 2017

Indian J Otolaryngol Head Neck Surg

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To report on a series of patients of nasopharyngeal angiofibroma of varied ages with different stages and management algorithm which reduced morbidity associated with this tumour. Retrospective. We report a series of ten patients who presented to a tertiary care institution and were diagnosed to have NA from 2012 to 2014. Patients were categorized by Radkowski staging and data was collected to document differences in terms of presentation, operative technique, and postoperative course. All patients underwent preoperative embolization. Stage I and selected stage II lesions were approached endoscopically while the remainder underwent open resection. In comparison with open procedures, endoscopic procedures had less intraoperative blood loss (350 vs. 630 cc), operative time (90 vs. 150 min) and the average hospital stay was one day less (3 vs. 4 days). Proper preoperative work up including nonsurgical intervention in the form of embolisation and selecting proper surgical approach is rewarding in case of angiofibromas of all stages which help to reduce morbidity associated with these benign tumours.

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Exclusively Endoscopic Surgery for Juvenile Nasopharyngeal Angiofibroma

Abstract: It seems to be appropriate to reevaluate the surgical limits of endoscopic surgery for resecting JNA.

Cited by 60 publications

References 16 publications

Preliminary Experience with the Percutaneous Embolization of Juvenile Angiofibromas Using Only Ethylene-Vinyl Alcohol Copolymer (Onyx) for Preoperative Devascularization Prior to Surgical Resection

Preliminary Experience with the Percutaneous Embolization of Juvenile Angiofibromas Using Only Ethylene-Vinyl Alcohol Copolymer (Onyx) for Preoperative Devascularization Prior to Surgical Resection

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Nasopharyngeal Angiofibroma: Paradigm Shift in Management

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