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Juvenile nasopharyngeal angiofibroma-20 years of experience in endoscopic treatment.
- Source :
-
Otolaryngologia polska = The Polish otolaryngology [Otolaryngol Pol] 2021 Feb 16; Vol. 75 (2), pp. 9-14. - Publication Year :
- 2021
-
Abstract
- Introduction: Juvenile nasopharyngeal angiofibroma is a rare, benign tumor; however, it shows local aggression and leads to profuse nosebleeds. <br/>Aim: The aim of the study is to present 20 years of experience in endoscopic treatment of this tumor. <br/>Material and methods: The material covers 71 patients treated in the years 1985-2019 at the Department of Otolaryngology and Laryngological Oncology in Poznań. In these patients, either the classic external approach, or the double approach - external with the use of endoscopes, or only the endoscopic approach was used. In the entire population, external surgeries were performed in 37 patients, double access in 8 and endoscopic access in 26 patients. <br/>Results: Complete resection of the tumor was achieved in 51 patients (72%). The remaining 20 patients (28%) had a residual or recurrent tumor and all of these patients underwent reoperation.<br/> Conclusions: The endoscopic approach with the use of various optics and navigation allows for the removal of not only small tumors but also much more advanced ones. Pre-operative evaluation of imaging results is extremely important to avoid incomplete tumor removal. Individual development of an operating strategy, a wide range of optics and various surgical methods, and especially endoscopic ones, are the guarantee of therapeutic success.
Details
- Language :
- English
- ISSN :
- 2300-8423
- Volume :
- 75
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Otolaryngologia polska = The Polish otolaryngology
- Publication Type :
- Academic Journal
- Accession number :
- 33949314
- Full Text :
- https://doi.org/10.5604/01.3001.0014.5220