Ressecção endoscópica de nasoangiofibroma

Ferreira, Lidiane Maria de Brito Macedo; Gomes, Eymeric; Azevedo, Jorge Ferreira; Souza, João Renato Figueiredo; Araújo, Roberta de Paula; Rios, Adson Sales do Nascimento

doi:10.1590/s0034-72992006000400008

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…6 In the present study, all patients were male, and the mean age at the time of diagnosis was 16.8 years, which is similar to other published studies. [13][14][15]20,23 Genetic studies have demonstrated a close relation between these angiomas and androgen receptor expression, suggesting that this tumor is androgen-dependent. This could explain why the prevalence is higher in males.…”

Section: Discussionmentioning

confidence: 99%

Experiência de sete anos em pacientes com angiofibroma nasofaríngeo juvenil

Gaillard¹,

Anastácio²,

Piatto³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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Juveni le nasopharyngeal angiofibroma (JNA) is a rare tumor in adolescent males. It originates in the nasopharynx. Aim: to present the experience of JNA management at an Otorhinolaryngology Service between 2001 and 2008. Materials and Methods: Demographical data, clinical presentation, investigations as well as the treatment of sixteen JNA patients were reviewed and collected from medical records from the ORL Service. Design: Cross-sectional, retrospective and descriptive study. Results: All JNA patients were male. The average age at diagnosis was 16.8 years (range 9-23 years). More than 56% of the patients were classified as Fisch II. Preoperative embolization was carried out in ten (62.5%) patients. All 16 patients were submitted to primary surgical resection. Two patients (66.7%) who didn't receive preoperative embolization required intraoperative blood transfusion. The overall recurrence rate was 43.75% and the cure rate was 93.75%. Conclusion: Preoperative embolization minimizes intraoperative blood loss. The recurrence rate was related to advanced tumoral stage at diagnostic and the lack of preoperative embolization. Surgery combined with preoperative embolization is the major treatment for JNA. All the patients should undergo preoperative imaging studies, especially CT, to assist in surgical planning and follow-up.

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Section: Discussionmentioning

confidence: 99%

Experiência de sete anos em pacientes com angiofibroma nasofaríngeo juvenil

Gaillard¹,

Anastácio²,

Piatto³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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“…Previous publications consider a reduction of 80% on that risk [4]. Surgery is usually performed 24 -48 hours after the procedure, and one publication suggests even greater benefit after four days [5]. Some complications are described such as temporomandibular joint pain, headache, vomiting or even stroke or blindness [6].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of Nasopharyngeal Angiofibroma Resection with Carotid Invasion in a Pediatric Patient

Camasmie¹,

Cristianini²,

Moura³

et al. 2016

OALib

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The nasopharyngeal angiofibroma is an aggressive, vascular tumor that may represent a challenge for the anesthesiologist by the risk of profuse bleeding. We report the case of a 13 years old, 52 kg, ASA1, who was scheduled for the resection of an angiofibroma invading facial sinuses and internal carotid artery, and submitted to external carotid and internal maxillary arteries embolization one day before surgery. Mallampati 2, previous successful intubation reported. Induction was made with propofol, fentanyl, lidocaine and rocuronium, followed by intubation by direct laringoscopy. Sevoflurane and remifentanyl were used for maintenance. Central venous access and arterial catheterization were provided. Inicial arterial gasometry was normal. During tumor resection close to the ethmoidal cells, there was profuse bleeding that required intensive volemic resuscitation and hemotransfusion. The cavernous part of the angiofibroma was resected by a neurosurgery team. During the whole procedure, the patient received 3500 ml of Saline Solution 0.9%, 4000 ml of RL, 1000 ml of hydroxyethyl starch, four RBC units, two plasma units and 4 platelets units. Serial arterial blood gas analysis revealed Hb = 6 g/dL as the minor value of hemoglobin and pH was physiological all the time. Fenylephrine, adrenaline and noradrenaline were infused. Even after the massive volume restitution, responsiveness to hydration was verified by the delta pulse pressure curve. Total diuresis was 300 ml. The total duration of the procedure was 9 hours. The patient was sent to the ICU after a tracheostomy. Transthoracic US revealed collapsed cava vein leading to new volume resuscitation.

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“…Tumors may invade the anterior fossa through the ethmoid and sphenoid sinuses, being more frequent in the middle fossa and remaining extradural 8 9 10 . The classic triad of epistaxis, unilateral nasal obstruction, and a mass in the nasopharynx suggests a diagnosis of nasopharyngeal angiofibroma and is supplemented by imaging 11 12 13 14 15 . A biopsy is recommended only in cases of diagnostic uncertainty4.…”

Section: Introductionmentioning

confidence: 99%

Nasopharyngeal angiofibroma: Our experience and literature review

Martins

Lima²,

Mendonça³

et al. 2014

Int. Arch. Otorhinolaryngol.

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Summary Introduction: Juvenile nasopharyngeal angiofibroma is a rare, highly vascular, and histologically benign tumor, generally observed in male adolescents. It shows very aggressive behavior due to local invasiveness and is associated with various symptoms. Juvenile nasopharyngeal angiofibroma originates in the sphenopalatine forame, causing epistaxes and nasal obstruction. Objective: To retrospectively describe our experience in the diagnosis and treatment of patients with juvenile nasopharyngeal angiofibroma. Scientific drawing: Retrospective, descriptive study conducted after approval from the Ethics Committee of the Federal University of Sergipe (protocol 0114.0.107.000 -11). Methods: We analyzed findings in 20 patients who underwent surgery between 2004 and 2011. Factors analyzed include patient age and gender, symptoms, stages, treatment, length of surgery, intraoperatory bleeding, postoperative need for nasal tampons, hospitalization time, complications, and tumor recurrence. Results: Patients were aged 10–29 years. All patients were treated surgically, including 17 who underwent endoscopic surgery. The mean operation time was 120 min, and the mean bleeding volume was 300 mL. Seventeen patients required clamping of the external carotids and tumor embolization. Conclusion: Endoscopic surgery alone or with other conventional techniques was safe for the treatment of angiofibromas of different stages.

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Ressecção endoscópica de nasoangiofibroma

Cited by 10 publications

References 11 publications

Experiência de sete anos em pacientes com angiofibroma nasofaríngeo juvenil

Experiência de sete anos em pacientes com angiofibroma nasofaríngeo juvenil

Anesthetic Management of Nasopharyngeal Angiofibroma Resection with Carotid Invasion in a Pediatric Patient

Nasopharyngeal angiofibroma: Our experience and literature review

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