Surgery for juvenile nasopharyngeal angiofibroma with lateral extension to the infratemporal fossa

Yamada, Masato; Tsunoda, Atsunobu; Tokumaru, Takao; Aoyagi, Masaru; Kawano, Yoshihisa; Yano, Tomoyuki; Kishimoto, Seiji

doi:10.1016/j.anl.2014.02.009

Cited by 6 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Additionally, there is a high risk of morbidity due to facial nerve dissection, osteotomies and the possible need for a craniotomy. In the same case series,20 the most common complication was trismus (11 patients) followed by facial numbness (3 patients) and facial palsy (2 patients). The patient in the current case presentation had all three symptoms postoperatively which had been expected.…”

Section: Discussionmentioning

confidence: 86%

“…This approach has been shown to be effective for total tumour removal of JNAs with wide lateral extension. Yamada et al 20 described their outcomes of JNAs excised using this similar lateral open surgical approach. In their case series of 11 patients, they succeeded with complete tumorous removal in 10 out of 11 patients with only two patients suffering recurrence.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of a recurrent right juvenile nasopharyngeal angiofibroma using direct tumorous puncture embolisation and a subtemporal-preauricular infratemporal fossa surgical approach

et al. 2023

View full text Add to dashboard Cite

A juvenile nasopharyngeal angiofibroma (JNA) is a benign vascular tumour that arises from the pterygopalatine fossa. It is seen near exclusively in young males though female cases have been reported. Symptoms are due to their high vascularity and mass effect. Commonly reported symptoms include: nasal obstruction, epistaxis and nasal discharge. The mainstay of treatment is surgical resection either via an endonasal endoscopic approach or open surgical resection. Preoperative embolisation has been shown to decrease intraoperative bleeding. Embolisation may be undertaken via a transarterial (TA) approach or, more recently, via direct tumorous puncture (DTP). Options for recurrent or residual disease may include revision surgery, radiotherapy or close clinical surveillance. The following case presentation describes the management of a recurrent JNA in an adult male using preoperative embolisation via a combination of TA and DTP embolisation and an open surgical resection via a subtemporal-preauricular infratemporal fossa approach.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Management of a recurrent right juvenile nasopharyngeal angiofibroma using direct tumorous puncture embolisation and a subtemporal-preauricular infratemporal fossa surgical approach

et al. 2023

View full text Add to dashboard Cite

show abstract

“…In localized stages, surgical excision is the recommended therapeutic modality, and should be preceded; 24 h to 48 h, by embolization to limit the risk of revascularization or development of a collateral vascular [22]. The endoscopic approach has reduced the rate of complications and comorbidities while ensuring good local control [23].…”

Section: Computedmentioning

confidence: 99%

Recurrence of Juvenile Nasopharyngeal Angiofibroma Treated by Radiotherapy: A Case Report

Mazouz¹,

S²,

Abourazeq³

et al. 2019

SJMPS

View full text Add to dashboard Cite

Juvenile Nasopharyngeal Fibroma (J.N.A) is a rare nasopharyngeal tumor that affects male adolescents; it is a benign but locally aggressive vascular tumor due to invasion of adjacent structures. The symptomatology is not very specific; but predominated by epistaxis. His treatment is essentially surgery; however, the use of other therapeutic means: radiotherapy, interventional arteriography, chemotherapy and hormone therapy are of value in the case of locally unresectable advanced tumors. Through our observation of a case of nasopharyngeal fibroma, we discuss the clinical, radiological and histological aspects as well as the therapeutic management of these tumors.

show abstract

“…По данным других литературных источников считается, что местом исходной локализации ЮАН является область клиновидно-небного отверстия и/ или крыловидно-небной ямки (рисунок 1) [49][50][51][52][53]. Не менее заслуженные авторы с мировым именем в области хирургии ЮАН на основе анализа своего опыта (242 пациента с ЮАН) предполагают, что губчатая кость основания крыловидных отростков может являться исходным местом локализации опухоли [54].…”

unclassified

Juvenile nasopharyngeal angiofibroma

Краснов

Грачёв

Vorozhtsov

et al. 2020

Voprosy gematologii/onkologii i immunopatologii v pediatrii

View full text Add to dashboard Cite

Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign tumor that affects almost exclusively male adolescents. Usually, symptoms of JNA are detected within 15–24 months before seeking medical help. JNA is mainly diagnosed in patients aged 14 to 25 years. Angiofibroma consists of a complex mixture of blood vessels and a fibrous stroma. This feature of their structure determines the property of the tumor to bleed massively even after minimal surgical procedures. The tumor usually grows posteriorly and upward, involving the sphenoid sinus. Under certain circumstances, it can spread anteriorly into the nasal cavity with the involvement of ethmoid cells. With lateral spread, it affects the space of the pterygo-palatine fossa and can also spread into the infratemporal fossa through the expanded pterygo-maxillary fissure, into the region of the chewing muscles and soft tissues of the cheek. In this review, we briefly outline the study history, and current aspects of etiology, pathogenesis, diagnostic and treatment methods of JNA.

show abstract

Surgery for juvenile nasopharyngeal angiofibroma with lateral extension to the infratemporal fossa

Cited by 6 publications

References 20 publications

Management of a recurrent right juvenile nasopharyngeal angiofibroma using direct tumorous puncture embolisation and a subtemporal-preauricular infratemporal fossa surgical approach

Management of a recurrent right juvenile nasopharyngeal angiofibroma using direct tumorous puncture embolisation and a subtemporal-preauricular infratemporal fossa surgical approach

Recurrence of Juvenile Nasopharyngeal Angiofibroma Treated by Radiotherapy: A Case Report

Juvenile nasopharyngeal angiofibroma

Contact Info

Product

Resources

About