Exclusively Endoscopic Removal of Juvenile Nasopharyngeal Angiofibroma

Roger, Gilles; Huy, P. Tran Ba; Froehlich, Patrick; Abbeele, T. Van Den; Klossek, Jean‐Michel; Serrano, É.; Garabédian, Éréa-Noël; Herman, Philippe

doi:10.1001/archotol.128.8.928

Cited by 120 publications

(120 citation statements)

References 34 publications

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“…Since this is a nasal approach, endoscopy brought about not only less invasion, but also better cosmetic results and less surgery time. This was seen in the present study, in which average surgical time was of 102 minutes, matching reports considered satisfactory in the literature 7 .…”

Section: Discussionsupporting

confidence: 91%

“…Studies have shown that the endoscopic procedure is effective only for the total removal of small and intermediary size tumors [5][6][7][8] ; notwithstanding, there are studies that favor even the removal of tumors that extend to the pterigoid fossa and limited to the cranial fossa 9 . However, the debate remains, because studies have shown recur- (from 2 to 7 days) (Figures 1 and 2).…”

Section: Fisch or Chandlermentioning

confidence: 99%

“…The endoscopic approach is, indubitably a sound alternative, because despite being less aggressive to the patient, it causes less morbidity 11 , minimum bleeding, less operative time and greater efficacy 7,12 , moreover, it brings about less transoperative complications and better postoperative function 13 . When properly indicated, the procedure bears low recurrence rates 2,9 , being the first treatment option.…”

Section: Introductionmentioning

confidence: 99%

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Ressecção endoscópica de nasoangiofibroma

Ferreira

Gomes

Azevedo

et al. 2006

Rev. Bras. Otorrinolaringol.

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O nasoangiofibroma é um tumor benigno com componente vascular que acomete homens jovens, e tem como principal tratamento a cirurgia. Tem sido descrita a utilização de cirurgia endoscópica para a ressecção de tumores em estádios iniciais, sem evidência de permanência de restos tumorais ou recidiva da doença. OBJETIVO: Este estudo tem o objetivo de avaliar a via endoscópica precedida pela embolização como meio de tratamento para nasoangiofibroma em estádios II, e um caso selecionado em estádio III, com avaliação da morbidade pós-operatória a partir das seguintes variáveis: tempo cirúrgico, tempo de internamento pós-operatório, necessidade de transfusão sangüínea, presença de complicações, tempo entre embolização e cirurgia e presença de recidiva tumoral. MATERIAIS E MÉTODOS: Foi realizado em estudo prospectivo, a partir de nove pacientes internados no Hospital Geral de Fortaleza SESA/SUS no período de outubro de 2001 a novembro de 2004. CONCLUSÃO: Pelos dados obtidos, concluiu-se que a via endoscópica, quando precedida pela embolização tumoral, é uma via eficaz no tratamento de nasoangiofibromas em estádios iniciais, com reduzida morbidade pós-operatória.

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Section: Discussionsupporting

confidence: 91%

Section: Fisch or Chandlermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ressecção endoscópica de nasoangiofibroma

Ferreira

Gomes

Azevedo

et al. 2006

Rev. Bras. Otorrinolaringol.

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“…4 -24 The largest series was a retrospective study of 20 cases from six academic referral hospitals; the authors found the endoscopic approach to be the first choice for small to mediumsized angiofibromas. 14 In their experience of 15 cases, Nicolai et al found the endoscopic approach to be safe and effective. 20 Endoscopic exposure and excision is considered to be the first choice of surgical approach in cases of limited angiofibroma involving the posterior part of the nasal cavity, nasopharynx, sphenoid sinus and pterygopalatine fossa.…”

Section: Discussionmentioning

confidence: 99%

“…The internal maxillary artery can be either clipped 20 or diathermised. 14 Endoscopic tumour removal in the infratemporal, parapharyngeal and pterygomaxillary regions can be supplemented with sublabial and buccolabial incisions. 19 The tumour should be excised in the submucosal and subperiosteal planes, displaced and then finally delivered either transnasally or transorally.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic approach to juvenile nasopharyngeal angiofibroma: our experience at a tertiary care centre

Rajiniganth

2008

J. Laryngol. Otol.

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Objective: To evaluate the efficacy of endoscopic exposure and excision for juvenile nasopharyngeal angiofibroma.Design: Prospective analysis of the outcomes of endoscopic removal of the angiofibroma at a tertiary care centre, using endoscopic and radiological parameters.Subjects: Twenty-eight consecutive patients with angiofibroma were included. These patients underwent endonasal endoscopic excision of the lesion, following pre-operative computed tomography and digital subtraction angiography. Post-operative endoscopy and radiology were performed at six weeks to detect any residual lesion, and thereafter at six-monthly intervals to detect recurrence.Results: Twenty-one patients (75 per cent) were new cases and seven patients (25 per cent) had recurrent tumour. Pre-operative embolisation was performed in 21 patients (75 per cent). An endoscopic endonasal approach was used to access the pterygopalatine fossa. The average blood loss was 228 ml. Residual lesion was noted in one patient (initially with recurrent stage II C pathology). The remaining 27 patients (initially with stage I, II A and II B pathology) were free of residual pathology or recurrence after a minimum follow-up period of 12 months.Conclusion: Endoscopic exposure and excision of angiofibroma was found to be effective.

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ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

150

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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Exclusively Endoscopic Removal of Juvenile Nasopharyngeal Angiofibroma

Abstract: An exclusively endoscopic management of juvenile nasopharyngeal angiofibroma appears to be effective for small to medium tumors. It should be considered as a first-choice option for these cases (in view of the minimal bleeding, shorter duration, and efficacy).

Cited by 120 publications

References 34 publications

Ressecção endoscópica de nasoangiofibroma

Ressecção endoscópica de nasoangiofibroma

Endoscopic approach to juvenile nasopharyngeal angiofibroma: our experience at a tertiary care centre

ICAR: endoscopic skull‐base surgery

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