Resumen. LESCAILLE TORRES, Juan Gualberto. Juvenile nasopharyngeal angiofibroma. Rev Cubana Med Gen Integr [online]. , vol, n.2, pp. PDF | On Apr 2, , Luis Fernando Padilla and others published Angiofibroma nasofaríngeo juvenil: serie de casos del Hospital Universitario. Download Citation on ResearchGate | Angiofibroma nasofaríngeo juvenil: A propósito de un caso | A Caucasian year old boy presenting a relative health .

Author: Yozshugrel Vukree
Country: Myanmar
Language: English (Spanish)
Genre: Marketing
Published (Last): 19 May 2007
Pages: 213
PDF File Size: 6.76 Mb
ePub File Size: 5.24 Mb
ISBN: 899-6-52017-133-6
Downloads: 76160
Price: Free* [*Free Regsitration Required]
Uploader: Tojas

Nasopharyngeal angiofibroma: Our experience and literature review

The average age at diagnosis was In a study published in a number of patients classified as stage IA and IIB Radkowski, were considered by all authors as appropriate for endoscopic resection Given the short period of patient follow-up, there were only two relapses in one year.

For after septoplasty, a window was made in the cartilaginous septum, enabling you to enter through this passage one or two tools in handling the second surgeon. Non-small-cell lung juvenio Squamous-cell carcinoma Adenocarcinoma Mucinous cystadenocarcinoma Large-cell lung carcinoma Rhabdoid carcinoma Sarcomatoid carcinoma Carcinoid Salivary gland—like carcinoma Adenosquamous carcinoma Papillary adenocarcinoma Giant-cell carcinoma.

Classification of Fisch Type I: Of our 20 patients, only 2 underwent surgery without clamping of the external carotid arteries, with both showing more bleeding than the 18 who underwent surgery with clamping. Recently, the endoscopic approach has emerged as a surgical option for treating these tumors 4. Received Aug 21; Accepted Oct 7. Some surgeons, however, do not nasofaringek perform embolization preoperatively, finding that embolization is justified only in larger tumors This deception has brought us more space for access to tumor All surgeries were performed under general anesthesia, days after angiography with embolization of the tumor.

Nasopharyngeal angiofibroma

Several surgical approaches have been utilized for the removal of nasopharyngeal angiofibromas, including transnasal, transpalatal, transzygomatic, and transcervical accesses, in addition to lateral rhinotomy and mid-facial degloving, with or without extension to the upper lip or concomitant craniotomy 9.


Juvenile nasopharyngeal angiofibroma JNA is a rare tumor in adolescent males. Direct intratumoral embolization of juvenile angiofibroma. The five patients in this study underwent endoscopic resection four days after arteriography with embolization. From your point of origin then begins its growth beneath the mucosa, extending initially to the posterior nasal cavity and nasopharynx 4. Nasofarringeo names have been used as a nasopharyngeal jjvenil, fibroma of the adolescent and bleeding fibroangioma 1.

Tumors that further extend into the infratemporal fossa may progress into the orbit, through the inferior orbital fissure and to the base of the skull through the base of the pterygoid process. Since according to their ranking in the various staging systems are tabulated in Table 1.

Nasopharyngeal angiofibroma: Our experience and literature review

Many studies highlight the benefit of preoperative arterial embolization to control bleeding intraoperative 16,29, The tumor invades the infratemporal fossa or orbit with intracranial extradural commitment. All the patients should undergo preoperative imaging studies, especially CT, to assist in surgical planning and follow-up.

All patients were male, and all had symptoms of progressive nasal obstruction and recurrent epistaxis. Treatment trends in patients during 40 years. The development of minimally invasive techniques has led to the increased use of endoscopic surgery for the treatment of nasopharyngeal angiofibroma 21making it ideal for tumors confined to the nasopharynx, nasal cavity, and sphenoid sinus with minimal extension into the pterygopalatine fossa 10,12,13,15,18, This article has been cited by other articles in PMC.

Juvenile nasopharyngeal angiofibromas present almost exclusively in men aged 14—25 years 23 24 25 26 27 CT of a year-old patient with a Fisch class II juvenile nasopharyngeal angiofibroma.

Preoperative embolization minimizes intraoperative blood loss. The combination of different accesses to the tumor can be required 9. All 20 patients were available for follow-up maximum, 7 yearswith none showing evidence of tumor recurrence. The pathogenesis remains controversial, but some theories have been proposed, such as congenital theory, the hormonal, vascular and genetic 2,3, Similarly, our patients ranged in age from 10 to 29 years, with a mean age of 16 years, and all were male.

Related Posts  DATA SHEET 2N5777 PDF

Arterial embolization in the management of posterior epistaxis.

Of our 20 patients, only 2 underwent surgery without embolization, with these 2 showing significantly greater intraoperative bleeding than the 18 patients who underwent embolization. CT of the paranasal sinuses. Longer duration of surgery is associated with greater changes in body homeostasis due to surgical trauma. All patients were classified radiologically and surgically according to the Fisch system. Current Management of juvenile nasopharyngeal angiofibroma: Combined surgery consisting of a craniotomy, degloving, and endoscopic surgery in a patient with a Fisch IVA tumor.

Retrieved 29 June Nasal cavity Esthesioneuroblastoma Nasopharynx Nasopharyngeal carcinoma Nasopharyngeal angiofibroma Larynx Laryngeal cancer Laryngeal papillomatosis.

Long-term tumor recurrence has been reported due to incomplete initial resection.

Maurice M, Anviofibroma M. However these patients had the following characteristics, the number two is the youngest patient in the study group, which for some authors is related to increased tumor aggressiveness.

Juvenile nasopharyngeal angiofibroma originates in the sphenopalatine forame, causing epistaxes and nasal obstruction. So you have access to the wide portion of the maxillary sinus, greatly facilitating the resection of tumors with lateral extension to the infratemporal fossa.

The combination of different accesses to the tumor can be required 9. Endoscopic surgery is less invasive than open surgery, causing less damage to the patient.