Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension

Khalifa, Mohamed; Ragab, Sameh M.

doi:10.1016/j.ijporl.2008.09.012

Cited by 19 publications

(11 citation statements)

References 29 publications

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“…When compared with open resection, they result in significantly less intraoperative blood loss . They do not preclude surgical cure and may allow access to deep structures not fully visualized during open surgery . En bloc resection is not necessary to achieve surgical cure and, by contrast, piecemeal resection can facilitate the approach to difficult anatomic areas.…”

Section: Introductionmentioning

confidence: 99%

Nasal juvenile angiofibroma: Current perspectives with emphasis on management

et al. 2017

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Juvenile angiofibroma is an uncommon, benign, locally aggressive vascular tumor. It is found almost exclusively in young men. Common presenting symptoms include nasal obstruction and epistaxis. More advanced tumors may present with facial swelling and visual or neurological disturbances. The evaluation of patients with juvenile angiofibroma relies on diagnostic imaging. Preoperative biopsy is not recommended. The mainstay of treatment is resection combined with preoperative embolization. Endoscopic surgery is the approach of choice in early stages, whereas, in advanced stages, open or endoscopic approaches are feasible in expert hands. Postoperative radiotherapy (RT) or stereotactic radiosurgery seem valuable in long-term control of juvenile angiofibroma, particularly those that extend to anatomically critical areas unsuitable for complete resection. Chemotherapy and hormone therapy are ineffective. The purpose of the present review was to update current aspects of knowledge related to this rare and challenging disease. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1033-1045, 2017.

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Section: Introductionmentioning

confidence: 99%

Nasal juvenile angiofibroma: Current perspectives with emphasis on management

et al. 2017

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“…When looking at some of the series of JNA cases that have been published in the literature over the past 15 years, it is clear that the Radkowski system and either the original Fisch system or the Andrews-Fisch system were the most frequently used by surgeons (table 2). 4,5,7,13,14,17,19,20, It appears that surgeons have found that these systems correlate accurately and significantly with their decisions on surgical approaches to JNA with different degrees of extension and that they are good indicators of disease recurrence and prognosis. In addition, it is important to consider the Onerci, INCan, and UPMC systems, which seem to correlate better with current advances in diagnostic imaging and surgical techniques.…”

Section: Resultsmentioning

confidence: 99%

“…17 However, the feasibility and efficiency of the endoscopic management of JNAs that invade the infratemporal fossa and/or the skull base is still problematic. 18,19 Staging systems. Staging systems for any tumor are important because they usually standardize the guidelines for classification and management based on cumulative factors that influence the surgical decision, as well as the prognosis after surgery, including the risk of residual and recurrent disease.…”

Section: Introductionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma Staging: An Overview

Alshaikh

Eleftheriadou

2015

Ear Nose Throat J

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Staging of tumors is very important in treatment and surgical decision making, as well as in predicting disease recurrence and prognosis. This review focuses on the different available classifications of juvenile nasopharyngeal angiofibroma (JNA) and their impact on the evaluation, management, and prognosis of JNA. The literature was reviewed, and publications on JNA staging were examined. Our MEDLINE search of the entire English-language literature found no review article on the current available staging systems for JNA. In this article, we review the common JNA classification systems that have been published, and we discuss some of their advantages and disadvantages. The most commonly used staging systems for JNA are the Radkowski and the Andrews-Fisch staging systems. However, some newer staging systems that are based on advances in technology and surgical approachesthe Onerci, INCan, and UPMC systems-have shown promising utility, and they will probably gain popularity in the future.

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“…Improvements in pre-operative assessment and preparation, in addition to operative techniques and instrumentation, may enable the endoscopic removal of the majority of juvenile NAs (16). 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).…”

Section: A B C D Discussionmentioning

confidence: 99%

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

et al. 2015

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Abstract. Nasopharyngeal angiofibroma (NA) primarily affects adolescent males. The incidence of NA in the elderly, however, is extremely low. The present study describes a 72-year-old male with NA that presented with typical symptoms and radiological findings. The location and extension of the tumor was too lateral and inferior to be effectively resected by an endoscopic approach. Therefore, a combination of endoscopic and open approaches was considered. The tumor was completely resected using an image-guided endoscopic-assisted sublabial and buccolabial incision approach. The post-operative histopathological and immunohistochemical analysis confirmed the diagnosis of NA. The present study demonstrated the occurrence of NA in the elderly, and highlighted the potential of an image-guided endoscopic-assisted sublabial and buccolabial incision approach for the treatment of NA in the elderly.

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Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension

Cited by 19 publications

References 29 publications

Nasal juvenile angiofibroma: Current perspectives with emphasis on management

Nasal juvenile angiofibroma: Current perspectives with emphasis on management

Juvenile Nasopharyngeal Angiofibroma Staging: An Overview

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

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