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Transnasal endoscopic surgery in juvenile nasopharyngeal angiofibroma

Published online by Cambridge University Press:  29 June 2007

Reda H. Kamel*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Cairo University, Egypt.
*
Address for correspondence: Reda Kamel, M.D., Building 4 – Street 100, Floor 8 – Flat 2, Maadi – Cairo, Egypt.

Abstract

A case of angiofibroma limited to the right posterior nasal cavity, nasopharynx, and pterygopalatine fossa was operated upon transnasally under endoscopic control. The tumour was completely excised without complications. Endoscopic follow-up for the next two years and contrast computed tomography (CT) excluded any residual tumour or recurrence. The advantages, limitations and possible complications of this approach are discussed. It seems that in limited lesions of angiofibroma, the option of a transnasal endoscopic approach could be cautiously considered by experienced surgeons.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

This manuscript was presented at the International Advancee Sinus Symposium, July 22, 1993, Philadelphia, Pennsylvania. USA.

References

Batsakis, J. G. (1979) Vasoformative tumors. In Tumors of the Head and Neck. Clinical and Pathological Considerations. 2nd Edition. (Batsakis, J. G., ed.), Williams and Wilkins Co. Publ., Baltimore, London, pp 296300.Google Scholar
Chandler, J. R., Goulding, R., Moskowitz, L., Quencer, R. M. (1984) Nasopharyngeal angiofibromas: staging and management. Annals of Otology, Rhinology and Laryngology 93: 322329.CrossRefGoogle Scholar
Economou, T. S., Abemayor, E., Ward, P. H. (1988) Juvenile nasopharyngeal angiofibroma: an update of the UCLA experience, 1960–1985. Laryngoscope 98: 170175.CrossRefGoogle ScholarPubMed
Fisch, U. (1983) The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope 93: 3644.CrossRefGoogle ScholarPubMed
Fitzpatrick, P. J., Briant, T. D., Berman, J. M. (1980) The nasopharyngeal angiofibroma. Archives of Otolaryngology 106: 234236.CrossRefGoogle ScholarPubMed
Gustafson, R. O., Neel, H. B. III. (1991) Cysts and tumors of the nasopharynx. In Otolaryngology. 3rd Edition, vol. III. (Paparella, M. M., Shumrick, D. A., Gluckman, J. L., Meyerhoff, W. L., eds.) W. B. Saunders Co., Philadelphia, London, pp 21902193.Google Scholar
Kamel, R. H. (1989) Endoscopic transnasal surgery in chronic maxillary sinusitis. Journal of Laryngology and Otology 103: 492501.CrossRefGoogle ScholarPubMed
Kamel, R. (1990) Endoscopic transnasal surgery in antrochoanal polyp. Archives of Otolaryngology, Head and Neck Surgery 116: 841843.CrossRefGoogle ScholarPubMed
Kamel, R. H. (1992) Conservative endoscopic surgery in inverted papilloma: Preliminary report. Archives of Otolaryngology, Head and Neck Surgery 118: 649653.CrossRefGoogle ScholarPubMed
Kamel, R. (1994) Transnasal endoscopic approach in congenital choanal atresia. Laryngoscope 104: 642646.CrossRefGoogle ScholarPubMed
Kamel, R. H., Ishak, E. A. (1990) Enlarged adenoid and adenoidectomy in adults: Endoscopic approach and histopathological study. Journal of Laryngology and Otology 104: 965967.CrossRefGoogle ScholarPubMed
Kamel, R., Zaher, S. (1991) Transnasal endoscopic vidian neurectomy. Laryngoscope 101: 316319.CrossRefGoogle Scholar
Lingeman, R. E., Shellhamer, R. H. (1986) Benign neoplasms of the nasopharynx. In Otolaryngology, Head and Neck Surgery. 1st Edition, vol. II. (Cummings, C. W., Schuller, D. E., eds.). C. V. Mosby, Co., St Louis, Toronto, pp 12691279.Google Scholar
Neel, H. B. III. (1985) Juvenile angiofibroma. In Surgery of the Paranasal Sinuses. 1st Edition. (Blitzer, A., Lawson, W., Friedman, W. H., eds.), W. B. Saunders, Co., Philadelphia, London, pp 247259.Google Scholar
Neel, H. B. III., Whicker, J. H., Devine, K. D., Weiland, L. H. (1973) Juvenile angiofibroma: Review of 120 cases. American Journal of Surgery 126: 547556.CrossRefGoogle ScholarPubMed
Sessions, R. B., Bryan, R. N., Naclerio, R. M., Alford, B. R. (1981) Radiographic staging of juvenile angiofibroma. Head and Neck Surgery 3: 279283.CrossRefGoogle ScholarPubMed
Shaheen, O. H. (1987) Angiofibroma. In Scott-Brown's Otolaryngology. 5th Edition, vol. IV. (Kerr, A. G., Groves, J., Evans, J., eds.) Butterworths, London, Boston, pp 291296.Google Scholar